ࡱ>   bjbj=G=G z_-_-u*) tt4h`DT*;D <(<(<(<(*+,x9999999,>@:.-))".-.-:/tt<(<(:///.-Rt<(t8<(9/.-9//V6@7pi-57 9:0*;A7xA/A7/7.-.-.-::/.-.-.-*;A.-.-.-.-.-.-.-.-.- ::   Name:  FORMTEXT       Sex: FORMDROPDOWN Date of Birth:  FORMTEXT       /  FORMTEXT       /  FORMTEXT      Street Address: FORMTEXT      Phone (h): FORMTEXT      City, State, Zip:  FORMTEXT      Phone (w): FORMTEXT      Email Address:  FORMTEXT      Phone (c):  FORMTEXT       For confidentiality, when and where do you prefer to be reached? FORMTEXT        Current Marital Status:  FORMCHECKBOX  Single  FORMCHECKBOX  Engaged  FORMCHECKBOX  Married  FORMCHECKBOX  Separated  FORMCHECKBOX  Divorced Age:  FORMTEXT       Date of Current Marriage/Separation: : FORMTEXT       Number of Marriages: FORMTEXT      Street Address: FORMTEXT       Phone (h): FORMTEXT      Spouse s Name:  FORMTEXT       Date of Birth: FORMTEXT      Number of Children and Ages: FORMTEXT      Presently living with:  FORMCHECKBOX  Parents  FORMCHECKBOX  Spouse  FORMCHECKBOX  Roommate  FORMCHECKBOX  Alone  FORMCHECKBOX  Other:  FORMTEXT       Emergency Contact: Name:  FORMTEXT      Phone: FORMTEXT      Relationship to you: FORMTEXT       Who referred you or how did you hear about us? FORMTEXT       Counselor Preference (if none, leave blank): FORMTEXT      Please list specific days/times for your appointment availability (check all that apply): Monday FORMCHECKBOX  morning  FORMCHECKBOX  afternoon  FORMCHECKBOX  eveningTuesday FORMCHECKBOX  morning  FORMCHECKBOX  afternoon  FORMCHECKBOX  eveningWednesday FORMCHECKBOX  morning  FORMCHECKBOX  afternoon  FORMCHECKBOX  eveningThursday FORMCHECKBOX  morning  FORMCHECKBOX  afternoon  FORMCHECKBOX  eveningFriday FORMCHECKBOX  morning  FORMCHECKBOX  afternoon  FORMCHECKBOX  eveningSaturday FORMCHECKBOX  morning  FORMCHECKBOX  afternoon  What type of counseling are you seeking? Please select one:TypeDescriptionForms Required FORMCHECKBOX  INDIVIDUAL1-on-1 counseling1 intake form FORMCHECKBOX  FAMILY2 or more family members1 intake form per person over 18 yrs. old FORMCHECKBOX  RELATIONSHIPCouples who are dating1 intake form per person (total of 2 forms) FORMCHECKBOX  PRE-MARITALCouples engaged or considering it1 intake form per person (total of 2 forms) FORMCHECKBOX  MARITALCouples needing marital guidance1 intake form per person (total of 2 forms) REASONS FOR SEEKING HELP What concerns have led you to pursue counseling? FORMTEXT       Where are your concerns causing the most problems for you? (Check all that apply):  FORMCHECKBOX  Home  FORMCHECKBOX  Work  FORMCHECKBOX  Marriage  FORMCHECKBOX  Other Relationships  FORMCHECKBOX  God When did your present concern begin to be a problem for you? FORMTEXT       Have any concerns about you been identified by others? FORMTEXT       Please rate the severity of your present concerns on the following scale (Check one):  FORMCHECKBOX  Mild  FORMCHECKBOX  Moderate  FORMCHECKBOX  Severe  FORMCHECKBOX  Totally Incapacitating Please indicate which of the following areas are currently problems for you (Check all that apply): FORMTEXT       Number of Marriages:  FORMTEXT        FORMCHECKBOX  Under too much pressure/feeling stressed  FORMCHECKBOX  Excessive anxiety or worry  FORMCHECKBOX  Feeling lonely  FORMCHECKBOX  Angry feelings  FORMCHECKBOX  Concerns about finances  FORMCHECKBOX  Feeling numb or cut off from emotions  FORMCHECKBOX  Angry outbursts  FORMCHECKBOX  Excessive fear of specific places/objects  FORMCHECKBOX  Difficulty making friends  FORMCHECKBOX  Feeling as if youd be better off dead  FORMCHECKBOX  Feeling manipulated or controlled by others  FORMCHECKBOX  Difficulty making decisions  FORMCHECKBOX  Loss of interest in sexual relationships  FORMCHECKBOX  Feeling sexually attracted to members of your own sex  FORMCHECKBOX  Concerns about physical health  FORMCHECKBOX  Blackouts or temporary of loss of memory  FORMCHECKBOX  Insomnia (no sleep) or Hypersomnia (sleep all the time)  FORMCHECKBOX  Loss of appetite/increased appetite  FORMCHECKBOX  Lacking self-confidence  FORMCHECKBOX  Issues with food and/or weight  FORMCHECKBOX  Abuse of alcohol and/or non-prescription drugs  FORMCHECKBOX  Delusions  FORMCHECKBOX  Feeling distant from God  FORMCHECKBOX  Hallucinations  FORMCHECKBOX  Inability to concentrate while at school/work  FORMCHECKBOX  Crying spells  FORMCHECKBOX  Nightmares  FORMCHECKBOX  Loss of interest in usual activities/lack of motivation  FORMCHECKBOX  Obsessions or compulsions with specific activities  FORMCHECKBOX  Inability to control thoughts  FORMCHECKBOX  Feeling trapped in rooms/buildings  FORMCHECKBOX  Hearing voices  FORMCHECKBOX  Feeling that people are out to get you or that youre being watched MEDICAL/HEALTH INFORMATION How would you rate your current physical health?  FORMCHECKBOX  Excellent  FORMCHECKBOX  Good  FORMCHECKBOX  Fair  FORMCHECKBOX  PoorDate of last physical examination: FORMTEXT       /  FORMTEXT       /  FORMTEXT      Are you currently experiencing any physical problems? (e.g. headaches, body aches, stomach problems)  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, please explain: FORMTEXT       MEDICATION(S) Over-the-counter or prescription DOSAGE FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Previous hospitalizations for medical reasons:Date FORMTEXT      Reason FORMTEXT      Date FORMTEXT      Reason FORMTEXT      Have you ever been hospitalized for psychiatric purposes?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, please explain including name of hospital, location and dates: FORMTEXT      Permission to contact previous counselor:  FORMCHECKBOX  Yes  FORMCHECKBOX  No Please list names of any previous therapists, including dates and contact number: FORMTEXT      How do you feel about the results of your previous counseling? FORMTEXT      What do you hope to gain from counseling? FORMTEXT       OCCUPATIONAL / EDUCATIONAL INFORMATION Occupation:  FORMTEXT       Status:   FORMDROPDOWN Employer:  FORMTEXT       Present annual income: $ FORMTEXT      If Currently a Student  Field of Study:  FORMTEXT       Degree:   FORMTEXT      Institution, University or College:  FORMTEXT       Status:   FORMDROPDOWN How long have you been with the current employer and are satis $&(24@BD`bdfíҝÝ~nbLn+jh.4h ;CJOJQJU_Hh ;CJOJQJ_Hjh ;CJOJQJU_H%jvhACJOJQJU_Hh ;CJOJQJ_Hjh ;CJOJQJU_H+jhjh ;CJOJQJU_Hhjh ;CJOJQJ_H%jhjh ;CJOJQJU_HhSh ;CJOJQJ_Hh ;CJOJQJ_H8Bf % 0d$ & #$/If]0gdml '  d$ & #$/If]gdml     & ( * > θ΢ړzkXIhjhxCJOJQJ_H%jhjhxCJOJQJU_HhShxCJOJQJ_HhxCJOJQJ_HhSh ;CJOJQJh.4h ;CJOJQJ_H+jh.4h ;CJOJQJU_H+jlh.4h ;CJOJQJU_Hh ;CJOJQJ_Hjh ;CJOJQJU_H*jh ;CJOJQJU_HmHnHu  ( P I''!d$ & #$/If]gdml kdX$$If9Jֈ w%= t 6  +2s2H4 4saytm> @ B L N P b f h | ~ ֱ֖pֱcTA2hjhTeCJOJQJ_H%jhjhTeCJOJQJU_HhShTeCJOJQJ_HhShxCJOJQJjh}UCJOJQJU_H+jhjhxCJOJQJU_HhjhxCJOJQJ_HhxCJOJQJ_HhShxCJOJQJ_H*jhxCJOJQJU_HmHnHu%jhjhxCJOJQJU_H+jRhjhxCJOJQJU_HP f Q//!d$ & #$/If]gdml kd>$$If9J\e-+| t 6  +2s2H4 4saytmd$ & #$/Ifgdml       : B D X Z \ f h j x z | ֱ֊tֱg֊Qֱ+jhjhTeCJOJQJU_HhShTeCJOJQJ+jhjhTeCJOJQJU_HhjhTeCJOJQJ_Hh =CJOJQJ_HhTeCJOJQJ_HhShTeCJOJQJ_H*jhTeCJOJQJU_HmHnHu%jhjhTeCJOJQJU_H+jhjhTeCJOJQJU_H  B j Q//!d$ & #$/If]gdml kd$$If9J\e-+| t 6  +2s2H4 4saytmd$ & #$/Ifgdml j ~`d$ & #$/Ifgdml bkd$IfK$L$90&" t 6  &4 4saytXPd$ & #$/Ifgdml K$ . 0 2 F H J T V ȰȡyfWAf+f*jhxCJOJQJU_HmHnHu+jhjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhShxCJOJQJ_HhxCJOJQJ_HhShTeCJOJQJhShTeCJOJQJ_H.jhTeCJOJQJU^J_HmHnHu%jhjhTeCJOJQJU_H+j@hjhTeCJOJQJU_HhjhTeCJOJQJ_H 0 Z dB! d$ & #$/Ifgdml d$ & #$/Ifgdml |kdB$$If9JFe-+7 t 6  +    2s2H4 4saytmV X Z \ ^   2 4 6 R T p r t ʾ客|iV%jn hACJOJQJU_H%j hACJOJQJU_H%j hACJOJQJU_H%j hACJOJQJU_HhxCJOJQJ_HjhxCJOJQJU_HhxCJOJQJ_Hh"]hx5CJOJQJhShxCJOJQJhShxCJOJQJ_HhxCJOJQJ_HZ \ ^ }_B d$If]gdml   d$If]gdml x$d(dNRgdxikdl $$If9J0-+h? t 6  +2s2H4 4saytm F J L N P d f h r t }gZDg+jp hjhxCJOJQJU_HhShxCJOJQJ*jhxCJOJQJU_HmHnHu+jV hjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhxCJOJQJ_HhShxCJOJQJ_HhxCJOJQJ_HjhxCJOJQJU_H%j hACJOJQJU_H N x y\GGd$Ifgdml  d$If]gdml d$If]gdml lkd $$If9$$ t064 4saytmt v x (,.BDFPRTVƷƋ~ƷhƋƷRƋ~+jhjhxCJOJQJU_H+jhjhxCJOJQJU_HhShxCJOJQJ*jhxCJOJQJU_HmHnHu+j hjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhxCJOJQJ_HhShxCJOJQJ_HhxCJOJQJ_H ,w^A,d$Ifgdml  d$If]gdml d$If]gdml kd\$$If9\h v"*    t62s2H4 4saytm,TVvbI, d$If]gdml d$If]gdml kd$$If9\}^"*ro t62s2H4 4saytmd$Ifgdml Vpvx "$8:<FHJLíҗҋuҗhRҗh+jhjhxCJOJQJU_HhShxCJOJQJ+j4hjhxCJOJQJU_HhxCJOJQJ_H*jhxCJOJQJU_HmHnHu+jhjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhShxCJOJQJ_HhxCJOJQJ_H "D+d$If]gdml kd$$If9\}$"*r5 t064 4saytmd$Ifgdml "JLjL/ d$If]gdml   d$If]gdml kdP$$If90L"*! t064 4saytmd$Ifgdml "$&>@\^`կ՜ՉvcThjhxCJOJQJ_H%jhjhxCJOJQJU_H%jhACJOJQJU_H%jzhACJOJQJU_H%jhACJOJQJU_H%jhACJOJQJU_H%jhACJOJQJU_HhxCJOJQJ_HjhxCJOJQJU_HhShxCJOJQJ_H024>@BLPRfhjtvxֱ։sֱ։]ֱ։+jhjhxCJOJQJU_H+jhjhxCJOJQJU_HhjhxCJOJQJ_HhxCJOJQJ_HhShxCJOJQJhShxCJOJQJ_H*jhxCJOJQJU_HmHnHu%jhjhxCJOJQJU_H+jbhjhxCJOJQJU_HBPxffQQQQd$Ifgdml d$If]gdml kd$$If90"*BS t064 4saytm*,.BDFPRTVֱ{eYL{hx6CJOJQJ_HhxCJOJQJ_H+jhjhxCJOJQJU_HhjhxCJOJQJ_HhxCJOJQJ_Hh-~hx5CJOJQJhShxCJOJQJhShxCJOJQJ_H*jhxCJOJQJU_HmHnHu%jhjhxCJOJQJU_H+jhjhxCJOJQJU_H,QB)d$If]gdml x$dNgdxkd$$If9ֈi!"* tfb t62s2H4 4saytm,VEkd$$If9\? D"0* d  t62s2H4 4sayt|g{d$Ifgdml  d$If]gdml ֱxjYL8YLYL'jhShACJOJQJUhSh|g{CJOJQJ!jhSh|g{CJOJQJUhSh|g{6CJOJQJhShx6CJOJQJhShx56CJOJQJhShx5CJOJQJhShxCJOJQJhShxCJOJQJ_H*jhxCJOJQJU_HmHnHu%jhjhxCJOJQJU_H+jchjhxCJOJQJU_H &.HeeeFe$ *$Ifa$gdxl  *$Ifgdxl $ *$Ifa$gdTel @kd$$If90** t64 4sa c&xx$Ifgdxl   %./=>?HIWXYdestu}͹ͫ͗̓oͫ['jhShACJOJQJU'j5hShACJOJQJU'jhShACJOJQJU'jMhShACJOJQJUhSh|g{6CJOJQJ'jhShACJOJQJUhSh|g{CJOJQJ!jhSh|g{CJOJQJU'jehShACJOJQJU Hd~18Rn$ *$Ifa$gd|Hl  *$Ifgd|g{l $ *$Ifa$gdxl  *$Ifgdxl    &'(089GHIRSa͹ͫ͗̓oͫ['jU!hShACJOJQJU'j hShACJOJQJU'jm hShACJOJQJU'jhShACJOJQJUhSh|g{6CJOJQJ'jhShACJOJQJUhSh|g{CJOJQJ!jhSh|g{CJOJQJU'jhShACJOJQJU abcno}~͹ͮ͌x͠͠k͠]M]hEOhx56CJOJQJhEOhx5CJOJQJhSh|g{CJOJQJ'j%#hShACJOJQJU'j"hShACJOJQJUhSh|g{6CJOJQJh|g{6CJOJQJ'j="hShACJOJQJUhSh|g{CJOJQJ!jhSh|g{CJOJQJU'j!hShACJOJQJU$ $If^a$gdxl  *$Ifgdxl $ *$Ifa$gdxl Ff$ *$Ifgd|Hl kd&$$If9  *h!0*o>3 t6((((4 4sayt|g{$3$ *($Ifa$gdxl Ckd'$$If9D"" t64 4sayt|g{ *($Ifgdxl 3456DEFrstu4567EFGƼԝƼԝ{g{ԝ{S{ԝ'ja,hb[hACJOJQJU'jD+hb[hACJOJQJU!jhb[hxCJOJQJU!j'*hACJOJQJUhb[hx5CJOJQJ!j )hACJOJQJUhxCJOJQJjhxCJOJQJUhb[hxCJOJQJhEOhx5>*CJOJQJhEOhx5CJOJQJ 345RdrR4444 *$Ifgdxl kd($$If9\. D"y    t(64 4sap(yt|g{rstdddd *$Ifgdxl |kd~)$$If9\. D"y   t64 4sayt|g{4dddd *$Ifgdxl |kd*$$If9\. D"y   t64 4sayt|g{456Tvdddd *$Ifgdxl |kd+$$If9\. D"y   t64 4sayt|g{dddd *$Ifgdxl |kd,$$If9\. D"y   t64 4sayt|g{JL῱~k\Fk0k~*jhxCJOJQJU_HmHnHu+j.hjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhxCJOJQJ_HhxCJOJQJ_Hh(ghxCJOJQJhihx5CJOJQJhb[hx5CJ OJQJhb[hx5CJOJQJ'j~-hb[hACJOJQJUhb[hxCJOJQJ!jhb[hxCJOJQJULsnU< =d$Ifgdml d$If]gdml gdxx$dNgd|g{|kd-$$If9\. D"y   t64 4sayt|g{~8:<hjƳ՝ճՇճqճ[ճ+j0h&aMhACJOJQJU_H+j0h&aMhACJOJQJU_H+j 0h&aMhACJOJQJU_H+j/h&aMhACJOJQJU_H%jh&aMhxCJOJQJU_Hh&aMhxCJOJQJ_Hh&aMhxCJOJQJ_HhShxCJOJQJhShxCJOJQJ_HC*d$If]gdml Ekd1$$If90** t64 4saytm d$If]gdml Xkd/$$If900*}  t64 4saytm(*,68:ǸteOt9t*jhxCJOJQJU_HmHnHu+jC2hjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhxCJOJQJ_HhC9CJOJQJ_HhxCJOJQJ_Hh&aMhxCJOJQJh&aMhxCJOJQJ_Hh&aMhxCJOJQJ_H%jh&aMhxCJOJQJU_H+jg1h&aMhACJOJQJU_H<>t[ d$Ifgdml d$If]gdml Xkd2$$If900*2k t64 4saytm *d$Ifgdml :<>ACDR̹~n_L=h&aMhxCJOJQJ_H%jh&aMhxCJOJQJU_Hh&aMhxCJOJQJ_HhY&hx5CJOJQJ_H*jhxCJOJQJU_HmHnHu+j=3hjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhxCJOJQJ_HhxCJOJQJ_HhShxCJOJQJhShxCJOJQJ_H:Nkd6$$If90** t62s2H4 4saytm d$If]gdml Xkd3$$If90K0* t64 4saytmRSTU[\jklmuwxǻǥǻǏǻyǻj]hShxCJOJQJh&aMhxCJOJQJ_H+j5h&aMhACJOJQJU_H+j5h&aMhACJOJQJU_H+j4h&aMhACJOJQJU_HhxCJOJQJ_Hh&aMhxCJOJQJ_H%jh&aMhxCJOJQJU_H+j74h&aMhACJOJQJU_H *+  >@BVXZdfhjl쥙~oYoL?h(ihxCJOJQJhShxCJOJQJ+j6hjhxCJOJQJU_HhShxCJOJQJ_HhxCJOJQJ_HhSh9\CJOJQJ_Hh9\CJOJQJ_HhxCJOJQJ_H*jhxCJOJQJU_HmHnHu+j6hjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_H@hjl@}riiih`hgdx hx`hgdxgdxNkdm7$$If90** t62s2H4 4saytmd$Ifgdml d$If]gdt|l  ln @B^`bdf ߿ߜ߿߆߿p߿Z߿*j9h=1hA5CJOJQJU*j;9h=1hA5CJOJQJU*j8h=1hA5CJOJQJU*j]8h=1hA5CJOJQJUh(ihxCJOJQJhxCJOJQJ*j7h=1hA5CJOJQJUh=1hx5CJOJQJ$jh=1hx5CJOJQJU# J m !P!!!"6"r"""#Q#####?$`$~$$%@%h^hgdxh`hgdQh`hgdx    ! " J K Y Z [ \ ] m n | } ~  !߿ߜ߿߆߿p߿Z߿*j;h=1hA5CJOJQJU*j;h=1hA5CJOJQJU*j;h=1hA5CJOJQJU*j:h=1hA5CJOJQJUh(ihxCJOJQJhxCJOJQJ*j':h=1hA5CJOJQJUh=1hx5CJOJQJ$jh=1hx5CJOJQJU#!! !!!"!#!$!P!Q!_!`!a!b!c!!!!!!!!!!!!!!!"""""""6"߿ߜ߿߆߿p߿Z߿*jM>h=1hA5CJOJQJU*j=h=1hA5CJOJQJU*ja=h=1hA5CJOJQJU*j<h=1hA5CJOJQJUh(ihxCJOJQJhxCJOJQJ*ju<h=1hA5CJOJQJUh=1hx5CJOJQJ$jh=1hx5CJOJQJU#6"7"E"F"G"H"I"r"s""""""""""""""""###### #.#߿ߜ߿|߿f߿*j%@h=1hA5CJOJQJU*j?h=1hA5CJOJQJUhQCJOJQJ*j9?h=1hA5CJOJQJUh(ihxCJOJQJhxCJOJQJ*j>h=1hA5CJOJQJUh=1hx5CJOJQJ$jh=1hx5CJOJQJU.#/#0#1#2#Q#R#`#a#b#c#d######################## $ɿɜɿɆɿpɿZɿ*jsBh=1hA5CJOJQJU*jAh=1hA5CJOJQJU*jAh=1hA5CJOJQJU*jAh=1hA5CJOJQJUh(ihxCJOJQJhxCJOJQJh=1hx5CJOJQJ$jh=1hx5CJOJQJU*j@h=1hA5CJOJQJU# $$$$$?$@$N$O$P$Q$R$`$a$o$p$q$r$s$~$$$$$$$$$$$$$$%%%ɿɜɿɆɿpɿZɿ*jDh=1hA5CJOJQJU*jKDh=1hA5CJOJQJU*jCh=1hA5CJOJQJU*j_Ch=1hA5CJOJQJUh(ihxCJOJQJhxCJOJQJh=1hx5CJOJQJ$jh=1hx5CJOJQJU*jBh=1hA5CJOJQJU#%% %!%"%@%A%O%P%Q%R%S%v%w%%%%%%%%%%%%%%%%%%ɿɜɿɆɿpɿf\Qh"x5CJOJQJhkAXCJOJQJh9\CJOJQJ*jFh=1hA5CJOJQJU*j#Fh=1hA5CJOJQJU*jEh=1hA5CJOJQJUh(ihxCJOJQJhxCJOJQJh=1hx5CJOJQJ$jh=1hx5CJOJQJU*j7Eh=1hA5CJOJQJU@%v%%%%&J''(d$Ifgdml d$If]gdml gdx hL]L^`gdkAXh`hgdx%&&z&~&&&&&&&&&&&&&&&'' '''''':'<'>'@'H'̹۪~۪h۪۪R+jkHh&aMhACJOJQJU_H+jGh&aMhACJOJQJU_H+jGh&aMhACJOJQJU_H+jGh&aMhACJOJQJU_Hh&aMhxCJOJQJ_H%jh&aMhxCJOJQJU_Hh&aMhxCJOJQJ_HhxCJOJQJ_Hh(ghxCJOJQJhx5CJOJQJH'J'''''''''''''''''''((ɽɑɽɽ{ɑɽk_Ik+jIhoh+nCJOJQJU_Hh+nCJOJQJ_Hjh+nCJOJQJU_H+jUIhohxCJOJQJU_H*jhxCJOJQJU_HmHnHu+jHhohxCJOJQJU_HhxCJOJQJ_HjhxCJOJQJU_HhShxCJOJQJ_HhxCJOJQJ_HhxCJOJQJ_H( ((((((())))2)4)6)>)@)B)D)r)t)˾|m^QEhxCJOJQJ_Hh&aMhxCJOJQJh&aMhxCJOJQJ_Hh&aMhxCJOJQJ_H%jIKhACJOJQJU_H%jJhACJOJQJU_HjhxCJOJQJU_HhxCJOJQJ_HhShxCJOJQJhohxCJOJQJ_Hjh+nCJOJQJU_H*jh+nCJOJQJU_HmHnHu((B)D)v0EkdK$$If9*9+ t9+64 4sayt+n d$If]gdml kkdAJ$$If9F#*q  t9+6    4 4sayt+nD)t))))))**xs]]J]$Ifgdxl $$Ifa$gdxl gdxXkdL$$If90*g$ t9+64 4sayt+nd$Ifgdml d$If]gdml t)v))))))))))***&*(***4*6*8*:*N*P*R*\*^*좕zmzWmA+j:NhjhxCJOJQJU_H+jMhjhxCJOJQJU_Hhz*hxCJOJQJhz*hx5CJOJQJhihxCJOJQJhShxCJOJQJhShxCJOJQJ_H*jhxCJOJQJU_HmHnHu+j'LhjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_H**8*`*taa$Ifgdml kd!M$$Ifl0 0*w% t0644 lapyt+n`*b***taa$Ifgdml kdN$$IflG0 0*w% t0644 lapyt+n^*b*d*x*z*|**********************++++ѻяycVhhxCJOJQJ+jdQhjhxCJOJQJU_H+jPhjhxCJOJQJU_H+jOhjhxCJOJQJU_H*jhxCJOJQJU_HmHnHu+jYOhjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_Hhz*hxCJOJQJ***+taa$Ifgdml kdEP$$IflG0 0*w% t0644 lapyt+n+++f+p++toVAAd$Ifgdml d$If]gdml gdxkdQ$$IflG0 0*w% t0644 lapyt+n+d+f+n+p+r++++++++++++++++++++++++,,,,ƷƋƷuƋhƷRƋ+j+ThjhxCJOJQJU_HhShxCJOJQJ+jRhjhxCJOJQJU_H*jhxCJOJQJU_HmHnHu+jRhjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhShxCJOJQJ_HhxCJOJQJ_HhxCJOJQJ_H +++++T;d$If]gdml kdoS$$If9r 0* t64 4saytm Zd$Ifgdml ++,,:,<,?kdU$$If9r 0* t64 4saytm Zd$Ifgdml d$Ifgdml ,,,(,*,,,6,8,:,<,,,,,,,,,,,-Ϲޣ{o\M7\M\M+jUh&aMhACJOJQJU_Hh&aMhxCJOJQJ_H%jh&aMhxCJOJQJU_HhxCJOJQJ_Hh&aMhxCJOJQJ_HhxCJOJQJ_HhShxCJOJQJ*jhxCJOJQJU_HmHnHu+jThjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhShxCJOJQJ_H-- ----------------$.&.ʻʐpaKp5pʬ*jhxCJOJQJU_HmHnHu+jWhjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhShxCJOJQJhShxCJOJQJ_Hh&aMhxCJOJQJh&aMhxCJOJQJ_Hh&aMhxCJOJQJ_HhxCJOJQJ_H%jh&aMhxCJOJQJU_H+jGVh&aMhACJOJQJU_H<,-----AEkd#W$$If90** t64 4saytmd$Ifgdml EkdV$$If90** t64 4saytm d$If]gdml --4/6/^/M8d$Ifgdml Nkd_Y$$If90** t62s2H4 4saytm d$If]gdml EkdX$$If90** t64 4saytm&.(.*.F.H.J.L.\.^.z.|.~.2/4/6/8/L/N/P/ҼҰҚᰋ~k\Fk+jYhjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhShxCJOJQJh&aMhxCJOJQJ_H+jXh&aMhACJOJQJU_HhxCJOJQJ_H+jwXh&aMhACJOJQJU_Hh&aMhxCJOJQJ_H%jh&aMhxCJOJQJU_HhxCJOJQJ_HP/Z/\/^/`////////000 0\0^0`0t0v0x0000000ȻȻנȻנtdȻVKhQ_hxOJQJh|Zhx5CJOJQJjhxCJOJQJU_H+jG\hjhxCJOJQJU_H+j[[hjhxCJOJQJU_HhjhxCJOJQJ_HhxCJOJQJ_HhShxCJOJQJhShxCJOJQJ_H%jhjhxCJOJQJU_H*jhxCJOJQJU_HmHnHu^/`///0UEkdZ$$If90** t64 4saytmd$Ifgdml Nkd]Z$$If90** t62s2H4 4saytm0 0^00000K<7gdxx$dNgdxXkd\$$If90 0*= e t64 4saytmd$Ifgdml Ekd[$$If90** t64 4saytm000000 1111116181<1>1Z1\1^1`1b1r1|1~1޳sbsUD!jhjhxCJOJQJUhShxCJOJQJ!j]hACJOJQJUjhCJOJQJUhCJOJQJ&jhCJOJQJUmHnHu'jO]hjhCJOJQJUhjhCJOJQJ!jhjhCJOJQJUhShCJOJQJhCJOJQJh;Yhx5CJOJQJhxCJOJQJ00181`1b17}kdw^$$If9\,"0*% t*4 4sayt 0d$If]0gdl 0d$If]0gdml d$Ifgdml b1|1112 2`2K6d$Ifgdml }kd`$$If9\^,"0*gX t*4 4sayt 0d$If]0gdml   d$Ifgdml ~11111111111111122 2<2X2`2b2v2x2z2222222222κέκέzfκέ\hCJOJQJ'j`hjhxCJOJQJUhx6CJOJQJ'j_hjhxCJOJQJUhxCJOJQJhCJOJQJhShxCJOJQJ&jhxCJOJQJUmHnHu!jhjhxCJOJQJU'j_hjhxCJOJQJUhjhxCJOJQJ!`222227}kda$$If9\ ,"0* {% t*4 4sayt /0d$If]0gdl 0d$If]0gdml d$Ifgdml 22222233333.30323<3>3@3X3Z3^3`3|3ڹp\RDRjhCJOJQJUhCJOJQJ&jhCJOJQJUmHnHu'jBbhjhCJOJQJUhjhCJOJQJ!jhjhCJOJQJUhShCJOJQJhCJOJQJhShxCJOJQJ&jhxCJOJQJUmHnHu!jhjhxCJOJQJU'j!ahjhxCJOJQJU23@3Z333/}kdjc$$If9\ ,"0*j % t*4 4sayt 0d$If]0gdl 0d$If]0gdml   0d$If]0gdml |3~33334&*,@BDNPT|~Ƽ{g_QCjhxCJOJQJUh;Yhx5CJOJQJhxOJQJ&jhxCJOJQJUmHnHu'jdhjhxCJOJQJUhjhxCJOJQJ!jhjhxCJOJQJUhShxCJOJQJUhxCJOJQJhShCJOJQJhjhCJOJQJjhCJOJQJU!jbhACJOJQJUfied with your job?: FORMTEXT      RELIGIOUS BACKGROUND Do you believe in God?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoReligious Preference:  FORMTEXT      What church do you currently attend?  FORMTEXT      Are you a member of Redeemer Presbyterian Church?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoHow much influence does your religion have on your day-to-day activity? FORMTEXT       CONSENT OF RELEASE OF INFORMATION In the event that a Redeemer Counselor is not available to address the needs of the client, due to scheduling or otherwise, Redeemer Counseling Services is authorized to release all intake information to a referred therapist. The consent for release of information avoids any delays in beginning therapy and insures that the client receives appropriate care. Signed FORMTEXT      Date FORMTEXT      Witness FORMTEXT       Date FORMTEXT      (Required if under the age of 18) Application for Reduced Fee Please submit with proof of income: a recent paycheck stub, or copy of the first page of most recent tax return. Fax: 212-252-0649, include: Application & a copy of a recent pay stub or copy of the first page of most recent tax return. Email:  HYPERLINK "mailto:rcs@redeemer.com" rcs@redeemer.com, include: Application & a copy of your paycheck or first page of most recent tax return. Reduced fees are based on current income. Therefore, fees are adjusted when income changes. We recommend all clients call their medical insurance company to inquire about Out-of-Network Insurance Benefits for Mental/Behavioral Health Services. Questions? Contact the Services Coordinator at 212-370-0475 x0, or rcs@redeemer.com. Personal InformationName:  FORMTEXT      Date:  FORMTEXT       FORMCHECKBOX  Full-time Work FORMCHECKBOX  Part-time Work. Hours per wk:  FORMTEXT      Employer:  FORMTEXT       FORMCHECKBOX  Full-time Student FORMCHECKBOX  Part-time Student FORMCHECKBOX  Not EmployedSchool:  FORMTEXT       FORMCHECKBOX  New RCS Client FORMCHECKBOX Current/Former client, counselor:  FORMTEXT       FORMCHECKBOX  Other:  FORMTEXT      Spouse & Family:Name:  FORMTEXT       Occupation/Status:  FORMTEXT      Employer:  FORMTEXT      Number of Dependents in family:  FORMTEXT      Names and Ages:  FORMTEXT       Annual IncomePlease enter Adjusted Gross Income (pre-tax) of most recent tax return: $  FORMTEXT       Year  FORMTEXT        FORMCHECKBOX  Single Return  FORMCHECKBOX  Joint ReturnHas your employment changed since your last tax return?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, explain:  FORMTEXT      Has your household/family income changed since your last tax return?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, explain:  FORMTEXT      Current Monthly Income: Personal & Spouse IncomeGross monthly wages or salaries (pre-tax) personal income (include severance pay):$  FORMTEXT      Gross monthly wages or salaries (pre-tax) from spouse:$  FORMTEXT      Monthly income, other sources (unemployment, rental property, SSI, SSDI, stocks, bonds, trust fund): $  FORMTEXT      Gross Monthly Family/Household Total: $  FORMTEXT      Savings & Assets (Not including real-estate or retirements funds)Do you have a savings account, stocks (matured/vested), bonds, mutual funds or a trust fund?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf so, what is the value:  FORMCHECKBOX  below $50,000  FORMCHECKBOX  $50,000 - $199,999  FORMCHECKBOX  $200,000 - $499,999  FORMCHECKBOX  $500,000+Comments & Additional Information Is there any additional information you would like us to consider?  FORMTEXT      Signed  FORMTEXT      Date  FORMTEXT           1166 Avenue of the Americas, Suite 1600, New York, NY 10036 | P: 212.370.0475 | F: 212.252.0649    Adult Intake Form 3*RT~@hzsxgdxWkd}d$$If900*;V t*4 4saytd$Ifgdml Hd$If]Hgdml  8@BVXZdfjBFHdָָrָ^rָ'jfhjhxCJOJQJU&jhxCJOJQJUmHnHu'jehjhxCJOJQJUhjhxCJOJQJ!jhjhxCJOJQJUhShxCJOJQJ!jrehACJOJQJUhxCJOJQJjhxCJOJQJU!jdhACJOJQJUhjkkR0d$If]0gdml d$Ifgdml ~kd\f$$If9\ ;0*B ]K t64 4saytmdfhvx024HJLVXZ\^`vָָrjZOAOhihx5CJOJQJhihxOJQJh)t;hx5CJOJQJaJhxOJQJ&jhxCJOJQJUmHnHu'jhhjhxCJOJQJU!jhjhxCJOJQJUhShxCJOJQJhjhxCJOJQJ!jghACJOJQJUhxCJOJQJjhxCJOJQJU!jrghACJOJQJU2Zzz0d$If]0gdml kkdZh$$If9Fl ;0*   t6    4 4saytmZ\^`vxiTd$Ifgdml d$If]gdml gdxgdxgdx $dNgdxdhgdxXkdbi$$If900* t64 4saytm vx ôÈyôcÈyVô@+jkhjhxCJOJQJU_HhShxCJOJQJ+j\jhjhxCJOJQJU_HhShxCJOJQJ_H*jhxCJOJQJU_HmHnHu+jihjhxCJOJQJU_HhjhxCJOJQJ_H%jhjhxCJOJQJU_HhQU9hx5CJOJQJ_HhQU9hx5CJOJQJ_HhxCJOJQJ&kR99 d$Ifgdml d$If]gdml ~kdj$$If9\#& t64 4saytmd$Ifgdml  &(<>@JLNPʻ윆yjy[I:hLt5CJOJQJ^JaJ#hxQhLt5CJOJQJ^JaJht|5CJOJQJ^JaJhQU9hxCJOJQJ_HhShxCJOJQJ+jkhjhxCJOJQJU_HhjhxCJOJQJ_HhQU9hx5CJOJQJ_HhShxCJOJQJ_HhxCJOJQJ_H*jhxCJOJQJU_HmHnHu%jhjhxCJOJQJU_H&NPgP $Ifgdml ~kdll$$If9\#& t64 4saytm d$Ifgdml rt$Ifgdg-l ^gd)t; & Fgd)t;gd)t;$a$gd)t;$a$gdLtEkdm$$If9#M$ t64 4saytm  0H *,\Tq_N hn#h)t;CJOJQJ^JaJ#hxQh)t;>*CJOJQJ^JaJ'jh)t;0JCJOJQJU^JaJ$h oh)t;0JCJOJQJ^JaJjmh)t;Uh)t;jh)t;U hxQh)t;CJOJQJ^JaJh)t;CJOJQJ^JaJ#h]h)t;5CJOJQJ^JaJh)t;5CJOJQJ^JaJ h)t;56CJOJQJ^JaJTnv6 DNnrt῭ᜊzkdS<,jh}*h)t;>*CJOJQJU^JaJ h}*h)t;CJOJQJ^JaJ hlh)t;hjQh)t;OJQJ^JaJh#uh)t;5OJQJ^JaJ#h#uh)t;5CJOJQJ^JaJ h]h)t;CJOJQJ^JaJ#hxQh)t;>*CJOJQJ^JaJ hxQh)t;CJOJQJ^JaJ hGh)t;CJOJQJ^JaJh)t;CJOJQJ^JaJ hn#h)t;CJOJQJ^JaJ >Wkdeo$$Ifl0). Z t344 laytg-$Ifgdg-l Wkd#n$$Ifl0). Z t344 laytg- ӼkY?kk-"hjQh)t;>*OJQJ]^JaJ2jnhjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ hjQh)t;CJOJQJ^JaJh}*h)t;OJQJ]^JaJ1jh)t;>*CJOJQJU^JaJmHnHu,jh}*h)t;>*CJOJQJU^JaJ2jynh}*h)t;>*CJOJQJU^JaJ#h}*h)t;>*CJOJQJ^JaJ *,.BLNPlnpr٤ُxfLx31jh)t;>*CJOJQJU^JaJmHnHu2jphjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ)j1ph)t;CJOJQJU^JaJh}*h)t;OJQJ^JaJ h}*h)t;CJOJQJ^JaJ)joh)t;CJOJQJU^JaJh)t;CJOJQJ^JaJ#jh)t;CJOJQJU^JaJ hlh)t; N^~kkkk$Ifgdg-l jkdq$$IflF )Z t3    44 laytg- $Ifgdg-l 468J\^`|鷝}k]Hk]k])jqh)t;CJOJQJU^JaJh)t;CJOJQJ^JaJ#jh)t;CJOJQJU^JaJ hlh)t;1jh)t;>*CJOJQJU^JaJmHnHu2jqhjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ h}*h)t;CJOJQJ^JaJh}*h)t;OJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ|~ ǹععr`Fr-1jh)t;>*CJOJQJU^JaJmHnHu2j/shjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJh)t;OJQJ^JaJ)jrh)t;CJOJQJU^JaJh}*h)t;OJQJ^JaJh)t;CJOJQJ^JaJ h}*h)t;CJOJQJ^JaJ#jh)t;CJOJQJU^JaJ)j_rh)t;CJOJQJU^JaJ <>@^`b~}kQ81jh)t;>*CJOJQJU^JaJmHnHu2jthjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ)jth)t;CJOJQJU^JaJh)t;OJQJ^JaJ)j th)t;CJOJQJU^JaJh)t;CJOJQJ^JaJ#jh)t;CJOJQJU^JaJ hlh)t;h}*h)t;OJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ`HkkX$Ifgdg-l  $Ifgdg-l }kds$$Ifl\ N) Z t344 laytg-  "68:DFHJLNnpr߳n_X_XI:XhI}h)t;OJQJ^JaJh)t;5CJOJQJ^JaJ hlh)t;h}*h)t;OJQJ^JaJ1jh)t;>*CJOJQJU^JaJmHnHu2juhjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ)jauh)t;CJOJQJU^JaJh)t;CJOJQJ^JaJ#jh)t;CJOJQJU^JaJHJLNp>+$Ifgdg-l Dkdv$$Ifl) t344 laytg-$Ifgdg-l jkdAv$$IflF +)  t3    44 laytg-pr2$Ifgdg-l  $Ifgdg-l Dkdv$$Ifl) t344 laytg-r~ƬؓveN<#hjQh)t;>*CJOJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ h}*h)t;CJOJQJ^JaJh)t;CJOJQJ^JaJh\h)t;OJQJ^JaJ1jh)t;>*CJOJQJU^JaJmHnHu2j5wh\h)t;>*CJOJQJU^JaJ#h\h)t;>*CJOJQJ^JaJ,jh\h)t;>*CJOJQJU^JaJ h\h)t;CJOJQJ^JaJ "$.024tv϶ϧτj϶ϧcτI϶ϧτ2jxhjQh)t;>*CJOJQJU^JaJ hlh)t;2j!xhjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ h}*h)t;CJOJQJ^JaJh}*h)t;OJQJ^JaJ1jh)t;>*CJOJQJU^JaJmHnHu,jhjQh)t;>*CJOJQJU^JaJ2jwhjQh)t;>*CJOJQJU^JaJ24+Wkdy$$Ifl0N)  t344 laytg-$Ifgdg-l jkdx$$IflFu )Z t3    44 laytg- &P϶ϧm\\J02jzhjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ h}*h)t;CJOJQJ^JaJ#h}*h)t;5@OJQJ^JaJ#h}*h)t;5CJOJQJ^JaJh7*%h)t;CJOJQJ^J hlh)t;h}*h)t;OJQJ^JaJ1jh)t;>*CJOJQJU^JaJmHnHu,jhjQh)t;>*CJOJQJU^JaJ2jqyhjQh)t;>*CJOJQJU^JaJ z6zDkdz$$Ifl) t344 laytg-$Ifgdg-l Dkd=z$$Ifl) t344 laytg- $Ifgdg-l  H$Ifgdg-l  .02VXt鞄unYAYY/j|h}*h)t;CJOJQJU^JaJ)jh}*h)t;CJOJQJU^JaJ hlh)t;h}*h)t;OJQJ^JaJ2jC{hjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ h}*h)t;CJOJQJ^JaJh)t;>*CJOJQJ^JaJ1jh)t;>*CJOJQJU^JaJmHnHu,jhjQh)t;>*CJOJQJU^JaJ f`M$Ifgdg-l Dkd|$$Ifl) t344 laytg-$If^gdg-l Dkd{$$Ifl) t344 laytg-tvx &(*:<XZ\dfhmVD#hjQh)t;>*CJOJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ/j}h}*h)t;CJOJQJU^JaJ/j5}h}*h)t;CJOJQJU^JaJh)t;CJOJQJ^JaJ hlh)t;h}*h)t;OJQJ^JaJ h}*h)t;CJOJQJ^JaJ)jh}*h)t;CJOJQJU^JaJ/jw|h}*h)t;CJOJQJU^JaJfhdDkd~$$Ifl) t344 laytg-$Ifgdg-l Dkd!~$$Ifl) t344 laytg-BD`bdtv϶ϧzbzzJz/jh}*h)t;CJOJQJU^JaJ/j'h}*h)t;CJOJQJU^JaJ)jh}*h)t;CJOJQJU^JaJ h}*h)t;CJOJQJ^JaJ hlh)t;h}*h)t;OJQJ^JaJ1jh)t;>*CJOJQJU^JaJmHnHu,jhjQh)t;>*CJOJQJU^JaJ2ji~hjQh)t;>*CJOJQJU^JaJdM $Ifgdg-l Dkdр$$Ifl) t344 laytg-$Ifgdg-l Dkd$$Ifl) t344 laytg-RTVӼ~l]M?. h7*%h)t;CJOJQJ^JaJh)t;CJOJQJ^JaJh}*h)t;5OJQJ^JaJh)t;5CJOJQJ^JaJ#h}*h)t;5CJOJQJ^JaJh)t;5OJQJ^JaJ hlh)t; h}*h)t;CJOJQJ^JaJ1jh)t;>*CJOJQJU^JaJmHnHu,jhjQh)t;>*CJOJQJU^JaJ2j[hjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJTV(`II $Ifgdg-l Dkda$$Ifl) t344 laytg- $Ifgdg-l Dkd$$Ifl) t344 laytg-$&(*һvoaһGvoa2juhjQh)t;>*CJOJQJU^JaJh)t;CJOJQJ^JaJ hlh)t;1jh)t;>*CJOJQJU^JaJmHnHu2jhjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ h}*h)t;CJOJQJ^JaJh}*h)t;OJQJ^JaJh)t;CJOJQJ^JaJ(*>Wkd$$Ifl0s")n t344 layt)t;$Ifgdg-l Wkd$$Ifl0s")n t344 layt)t;.>HTϰygMy4y1jh)t;>*CJOJQJU^JaJmHnHu2jAhjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ h}*h)t;CJOJQJ^JaJh}*h)t;OJQJ^JaJ h$h)t;CJOJQJ^JaJh)t;CJOJQJ^JaJ h7*%h)t;CJOJQJ^JaJh]h)t;CJOJQJ^J h]h)t;CJOJQJ^JaJ:<(Wkd$$Ifl0s")n t344 layt)t;$Ifgdg-l $$Ifa$gdg-l Wkd$$Ifl0s")n t344 layt)t; (*,68:<>@T{llZJ<h)t;CJOJQJ^JaJhGh)t;5OJQJ^JaJ#hGh)t;5CJOJQJ^JaJh)t;5CJOJQJ^JaJ1jh)t;>*CJOJQJU^JaJmHnHu2j hjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJh$h)t;5OJQJ^JaJ#h$h)t;5CJOJQJ^JaJ hlh)t;<>@Q>$Ifgd} l Dkd!$$Ifl) t344 laytg-$Ifgdg-l Dkdل$$Ifl) t344 laytg-$Ifgdg-l @~ *,.0LNPlлУлЋ|u]OhhICJOJQJ^JaJ/jh}*h)t;CJOJQJU^JaJ hlh)t;h)t;5CJOJQJ^JaJ/j߅h}*h)t;CJOJQJU^JaJ/jih}*h)t;CJOJQJU^JaJ)jh}*h)t;CJOJQJU^JaJ h}*h)t;CJOJQJ^JaJh)t;CJOJQJ^JaJ h7*%h)t;CJOJQJ^JaJ " $ dM X%$Ifgdg-l Dkdu$$Ifl) t344 laytg-$IfgdhIl DkdU$$Ifl) t344 laytg-lnpr      " mXmIB hlh)t;h)t;5CJOJQJ^JaJ)jhhICJOJQJU^JaJ#jhhICJOJQJU^JaJhhICJOJQJ^JaJ/jh}*h)t;CJOJQJU^JaJh)t;CJOJQJ^JaJh^CJOJQJ^JaJ h}*h)t;CJOJQJ^JaJ)jh}*h)t;CJOJQJU^JaJ/jh}*h)t;CJOJQJU^JaJ" $ & j l n          0 2 F H J T 蹢v]N蹢4]2j hjQh)t;>*CJOJQJU^JaJh}*h)t;OJQJ^JaJ1jh)t;>*CJOJQJU^JaJmHnHu2jMhjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ h}*h)t;CJOJQJ^JaJh$h)t;OJQJ^JaJh)t;5CJOJQJ^JaJ hlh)t;h$h)t;5OJQJ^JaJ$ & l n  `M$Ifgdg-l Dkd$$Ifl) t344 laytg- %$Ifgdg-l Dkd$$Ifl) t344 laytg-  X    2-gd)t;Wkd$$Ifl0)  t344 laytg- $7$8$H$Ifgdg-l $7$8$H$Ifgdg-l DkdÉ$$Ifl) t344 laytg-T V X d f z | ~                 鷝}pia]a]a]a]OKhAhmhA5CJOJQJh$Ljh$LU hihxhlh)t;OJQJ^J h}*h)t;1jh)t;>*CJOJQJU^JaJmHnHu2jhjQh)t;>*CJOJQJU^JaJ#hjQh)t;>*CJOJQJ^JaJ h}*h)t;CJOJQJ^JaJh}*h)t;OJQJ^JaJ,jhjQh)t;>*CJOJQJU^JaJ            n p " $ * ,    gdx !K&d P gd"xgdkAX !K&d P gdx$ !Pa$gd+V$a$gdx$a$gd)t; n p r t   " $ & ( * , R T       ζ悚taSODhA5CJOJQJh$LhmhA6CJOJQJ$jgBhFADhA5CJOJQJUh"xhA5CJOJQJ/jh+VhA5CJOJQJUmHnHuhFADhA5CJOJQJhmhA5CJOJQJ/jMh+VhA5CJOJQJUmHnHu.jhA6CJOJQJUmHnHsHtHhA)h+VhAB*CJOJQJ^JaJphv<      $a$gd)t;gdx      hihxh$LhAhwhA5CJOJQJ1 0:p2/ =!"#$% 8 0 0:p9\/ =!"#$% P 1 0:p?/ =!"#$% vDText15Df MFvDText16vDText17vDText18$$If!vh#v#v#v#v#v=#v:V 9J t 6  +,55555=5/ / / 2s2H4s4aytmvDText15vDText15$$If!vh#v#v#v#v|:V 9J t 6  +,5555|/ / 2s2H4s4aytmvDText15vDText15$$If!vh#v#v#v#v|:V 9J t 6  +,5555|/ / 2s2H4s4aytmvDText15vDText15$IfK$L$9!vh#v#v":V 9 t 6  &55"/ 4s4ytXP$$If!vh#v#v#v7:V 9J t 6  +,5557/ 2s2H4s4aytmvDText15$$If!vh#vh#v?:V 9J t 6  +,5h5?/ 2s2H4s4aytmtDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5vDText15$$If!vh#v$:V 9 t06,5$/ 4s4ytmvDText15vDText15$$If!vh#v #v #v#v :V 9 t6,5 5 55 / / 2s2H4s4ytmvDText15vDText15$$If!vh#v#vr#vo#v:V 9 t6,55r5o5/ / 2s2H4s4ytmvDText15vDText15.$$If!vh#v#vr#v5#v:V 9 t06,55r555/ / / / / / /  / 4s4ytmvDText15$$If!vh#v#v!:V 9 t06,55!/ /  / 4s4ytmtDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5vDText15$$If!vh#vB#vS:V 9 t06,5B5S/ /  / 4s4ytmvDText15vDText15vDText15$$If!vh#v#v #vt#vf#v#vb:V 9 t6,55 5t5f55b/ / / 2s2H4s4ytmvDText15vDText15$$If!vh#v #v#vd #v:V 9 t6,5 55d 5/ / 2s2H4s4ayt|g{V$$If!vh#v*:V 9 t65*4s4atDeCheck1tDeCheck2tDeCheck3tDeCheck1tDeCheck2hDetDeCheck1tDeCheck2tDeCheck3tDeCheck1tDeCheck2tDeCheck3tDeCheck1tDeCheck2tDeCheck3tDeCheck1tDeCheck2$$If!v h#v#vo#v>#v#v#v#v#v#v #v #v #v 8:V 9q t655o5>555555 5 5 5 84s4ayt|g{*kd#$$If9q   *h7!%0*o>8 t600004 4sayt|g{$$If!v h#v#vo#v>#v#v#v#v#v#v #v 3:V 9 t655o5>555555 5 34s4ayt|g{a$$If!vh#v":V 9 t65"4s4ayt|g{$$If!vh#v#v#vy #v :V 9  t(6555y 5 / / 4s4ap(yt|g{tDeCheck6$$If!vh#v#v#vy #v :V 9 t6555y 5 / / 4s4ayt|g{tDeCheck7$$If!vh#v#v#vy #v :V 9 t6555y 5 / / 4s4ayt|g{tDeCheck8$$If!vh#v#v#vy #v :V 9 t6555y 5 / / 4s4ayt|g{tDeCheck9$$If!vh#v#v#vy #v :V 9 t6555y 5 / / 4s4ayt|g{vDeCheck10$$If!vh#v#v#vy #v :V 9 t6555y 5 / / 4s4ayt|g{vDText15$$If!vh#v}#v :V 9 t6,5}5 / 4s4aytmtDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5f$$If!vh#v*:V 9 t6,5*4s4aytmvDText15$$If!vh#v2#vk:V 9 t6,525k/ 4s4aytmvDText15$$If!vh#v#v:V 9 t6,55/ 4s4aytmtDeCheck1tDeCheck2tDeCheck3tDeCheck4x$$If!vh#v*:V 9 t6,5*2s2H4s4aytmvDText15vDText15x$$If!vh#v*:V 9 t6,5*2s2H4s4aytmvDeCheck11hDevDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11vDeCheck11tDeCheck1tDeCheck2tDeCheck3tDeCheck4vDText19vDText20vDText19$$If!vh#vq#v #v:V 9 t9+6,5q5 5/ 4s4ayt+nvDeCheck12vDeCheck13f$$If!vh#v9+:V 9 t9+6,59+4s4ayt+nvDText15$$If!vh#vg#v$:V 9 t9+6,5g5$/ 4s4ayt+n$$If!vh#vw#v%:V l t065w5%pyt+nvDText15vDText15$$If!vh#vw#v%:V lG t06,5w5%pyt+nvDText15vDText15$$If!vh#vw#v%:V lG t06,5w5%pyt+nvDText15vDText15$$If!vh#vw#v%:V lG t06,5w5%pyt+nvDText15vDText15$$If!vh#v#v#v#v#v:V 9 t6,55555/ / 4s4aytmvDText15vDText15$$If!vh#v#v#v#v#v:V 9 t6,55555/ / 4s4aytmtDeCheck1tDeCheck2f$$If!vh#v*:V 9 t6,5*4s4aytmf$$If!vh#v*:V 9 t6,5*4s4aytmvDText15t$$If!vh#v*:V 9 t6,5*/ 4s4aytmtDeCheck1tDeCheck2$$If!vh#v*:V 9 t6,5*/ 2s2H4s4aytmvDText15$$If!vh#v*:V 9 t6,5*/ 2s2H4s4aytmt$$If!vh#v*:V 9 t6,5*/ 4s4aytmvDText15t$$If!vh#v*:V 9 t6,5*/ 4s4aytmvDText15$$If!vh#v; #vb:V 9 t6,5= 5e/ / 4s4aytmvDText16Df Dropdown4 Full-Time Part-Time$$If!vh#v#v#v%#v:V 9 t*,555%5/ 4s4aytvDText16vDText16$$If!vh#vg#vX#v#v:V 9 t*,5g5X55/ / 4s4aytvDText16vDText16$$If!vh#v #v{#v%#v:V 9 t*,5 5{5%5/ / 4s4aytvDText16Df Dropdown4 Full-Time Part-Time$$If!vh#vj #v#v%#v:V 9 t*,5j 55%5/ 4s4aytvDText16$$If!vh#v;#vV:V 9 t*,5;5V/ 4s4ayttDeCheck6tDeCheck7vDText16$$If!vh#v@ #v\#v#vI:V 9 t6,5B 5]55K/ 4s4aytmvDText16tDeCheck6tDeCheck7$$If!vh#v #v #v:V 9 t6,5 5 5/ 4s4aytmvDText16$$If!vh#v#v:V 9 t6,55/ 4s4aytmvDText15vDText15$$If!vh#v&#v#v#v:V 9 t6,5&555/ / 4s4aytmvDText15vDText15$$If!vh#v&#v#v#v:V 9 t6,5&555/ / 4s4aytmf$$If!vh#vM$:V 9 t6,5M$4s4aytmDyK yK 0mailto:rcs@redeemer.comT$$If!vh#v#v :V l t35. 5Zytg-vDText22vDText43T$$If!vh#v#v :V l t35. 5Zytg-vDeCheck16vDeCheck17vDText43vDText43b$$If!vh#v #v#v :V l t3555Zytg-hDehDehDejDp$$If!vh#v #v#v#v :V l t355 55Zytg-vDeCheck16vDeCheck16jDvDeCheck16jDb$$If!vh#v #v#v :V l t355 5ytg-F$$If!vh#vM*:V l t35ytg-F$$If!vh#vM*:V l t35ytg-vDText43vDText43vDText43b$$If!vh#v #v#v :V l t3555Zytg-vDText43vDText43T$$If!vh#v#v:V l t35 5 ytg-F$$If!vh#vM*:V l t35ytg-F$$If!vh#vM*:V l t35ytg-vDText43vDText43F$$If!vh#vM*:V l t35ytg-vDeCheck25vDeCheck26F$$If!vh#vM*:V l t35ytg-vDeCheck27vDeCheck28F$$If!vh#vM*:V l t35ytg-vDText43F$$If!vh#vM*:V l t35ytg-vDeCheck29vDeCheck30F$$If!vh#vM*:V l t35ytg-vDText43F$$If!vh#vM*:V l t35ytg-F$$If!vh#vM*:V l t35ytg-F$$If!vh#vM*:V l t35ytg-vDText43T$$If!vh#v"#vn:V l t355nyt)t;vDText43T$$If!vh#v"#vn:V l t355nyt)t;vDText43T$$If!vh#v"#vn:V l t355nyt)t;vDText43T$$If!vh#v"#vn:V l t355nyt)t;F$$If!vh#vM*:V l t35ytg-F$$If!vh#vM*:V l t35ytg-vDeCheck29vDeCheck30F$$If!vh#vM*:V l t35ytg-vDeCheck29vDeCheck30vDeCheck29vDeCheck31F$$If!vh#vM*:V l t35ytg-F$$If!vh#vM*:V l t35ytg-F$$If!vh#vM*:V l t35ytg-vDText43F$$If!vh#vM*:V l t35ytg-vDText43vDText43T$$If!vh#v9#v:V l t35 5ytg-[DdD` x  FA?Picture 2"bZA" 6\+ZnZA" 6\+PNG  IHDRx$&&iCCPICC ProfileXPҨD9gs% ˒d$JP"Q bEP0 (`^U֫wfJTT8@Dd\f ?uMFZV_v.FX*-c4@;ڨQ1q irĸ-Υ1K AWoqnb?<[ވƏ) hrj )?$&R)ptd""vmq%æ߶M %h5 |Bcnu=3k EH?kǧ-7wX#O1&0'LwnH_em? a~bj񗓃]rB_ s 1ږoc}|Rh7mMNQq6mͶ 6_gv`(Ѯ1!Aq, (+sBw.AlcdVy$\O&Zm/GRcȐ[?(p> $,P@ G^r@(@%u \W0$x f?o_?&B !pFIxIX#2FDObBrIqq%r[ʝS3󕗏׌7( ;>6>}Pr|!KGyk 9 ez.V.&,/b%WE(NT]4X obb.bź9-ē[ğI$$%NJ}Q.}Rl(')_,FԷ:ouKtʂ+߅Tք~ k w ?d ŷ+ixtTNLfrLC,BknF%_&&T%|OtN<Ę4[jw7ɦɧ P\+7}T(/ZpZV>}M;_2]2xeee<ܯ&{7O)hޯ|?P>p»EENjőS%z%MɥseVe]_U\Qs8#=GEY\9YeXu:1c8rQYmIu躄7Njnj(hhliojVkn>snoY4ÙG?^ydggWyqrZr܌LK㗣Oso_ž9 ŅK]v]_Yt3/_}b5bu[wMkk7~xȆF/gQVA;@>5@rK@2pbܡ0 Bd!ŐOPM\L ?Ed$yе0ÙFYX~ppVc?(*!3ITHqJWr'*S|lrF QN[VC7A/WҠѰɄ,Cj9h.QIYEU۝Ճ\=3{Am<)b2o׉jKeqaAnr߽) iggj˾|ye%dI5Y/:*zzfvF^&1f,2w'YYX)-?Pi'7ɗJ T 2 q g1ykW{ԡԘX8x|jl=VdFsIwpt͢dG$ͭk->0ypMR2rC':rq'Mɧ(MgN_i<39!r^jAۥǿ7/%~˜聕+WǮ 5\.Qp3V팑р;Vwq&<845ɣCO?+}~邙ܗs^ۿ}#mշu'~HXܾr5Z]3a{+`whPn@xn@0JXE1>PBGFp ΆgϘKP\J/"U"TrZZWNx~yEM"gBj~5XV]^=!})9C9ƒ&"fO;G]Vy16.vbl ǏN]U2VE~ݥ L<.q?(hqO&$$FO{ڥH"Sg.;a)3k"!'qY.wjRzjq?**=\WnHb ǫW9R}"e~)F&fiL hyfփ"ڬ::~a`OZot_EK*. ^s`Pá7nR;Y{{cO=ԛs^>~d۴7ĭ/Ug#^-{bQ+W7([mdkU+V96gj ?$5l9 `(4ۮ|<^_;$Y@~ jF70a8 >__!0iD ^#He2ن|BPBT?mA_DMX:4Vm)pcx1|~`@#bQ'$sR ]=}5C=,c7)CHqVl^l88rpqQY=?"'h.n Wؐ.(/.G!#O_RؤTjfIFUv*"<|Rj3-zwv-۬:{mN-8@Nz~.{{yUx2Pbՠ!B7-#NDFE2?MOjLfSbp^Jv~܍.Ȣ2B #G׫^iͭ ;Enт9 Z71;պz/7P~{0Mۧ? O~i/ͭf\Zzg|UԷ鵎 1ZŠOvaQsfx^F"4>lD b)$#cǐ7+IC!"@``&ӊyF`;?pFb+"nHXR"5+(%5nF5^&Af2$?/*6M')!\ \=<^o>"_/ m>Lz-'R"&f&..X|$5(.S#["#I>BWENZVYMSIARXGKWIOV_@PHXDT"lg 92*:&VӚ^9\]F<^yޣCxj@ !o4#fvEGuLNLIK<%=MphFL@<{M-*H:VX`MY-N~zSi3* ޷O-2UapuZGbTݝ@=0}4ٳ/*gf^V\YzcY?~.??0 Ԁ>| 9CQP Bkp ΈD=bɃ4AF!7_QB(;>T;j͎&=ܗb0 Xilpd\ B#m$~R.Ч3ƙXP,:Slޜx.`n<( PpHhX7yO/E?P=*uꐆVvδ> pؘ`nfN,ݙ{;rm aӼ3#ɯo ^X_JyehE_2fZ.~gb&a+JD4bsR6J67Onnnњg\ w՘u?QԄiTXtXML:com.adobe.xmp 285 120 @IDATx]|M&%;Bw[fRT[,ZUޫ&vbbYD{FH$?{9{?8b@ŀ€e G*TT HQ D'EѭLŀ訿*R*IQt7S1b@%:o@ŀŀJtRT PP1b E1Ez3*TT HQ D'EѭLŀ訿*R*IQt7S1b@%:o@ŀŀJt#׷Q؝VP1Tf†]^b@ŀ9P{9uީV/P1> D0t?fW/›ړx8Sŀa':O%~0̝z POT x'>ipi mAF\\z|*Pv,9u{/v_&#)ܖE>ѹz%_W*T Vワ>F~'=]opu>>xB }E~ś7rP1b$9׷a = 8D+MLy"+d5撤uգHDml n^S:ILխҩ8EFk['/M[sqnu\Dŀ1ūmPdBPzw'Oq^Daߕ\.P1bH3Dg~nps)>9CN&EAp"skI=Q1`4H_ǔ{naW!h5?D¿'qB1 -!bXp2uƑr2>CbXƾū0d͆zS.立9+ Ncqݰh/nYUVģ|4~Y#E WGܸ$aX8Vd8E[aJEd:3!suWV2LM4$-ZRy-ZM!ѬgTw遖Uy+h+,gQV5J1|p/Y5ΡaqRui 7/Z;rNоia\ X%} zBL`3IhUe CS'#Vf PDeD_J<{~X{SK`pTY5NykKlُ]93Z Q傟!C0.*o7#)D8V:Z*5GPi#Tpv[3cnR}5XZ2EE<AQ1Av7Cog熍\ F`N4pudfA%kUƼKc/`l1OٰVGr9OoV2Nb ~‰^][v.k<./<`B2Gv __C}3k0DR,&Nڇ6)E&8׋~Afv&7˲?5B^s,AhȢVc1˵P 8B<&?L1o(g![ҬI\ў,J@D y8Ҽy,oUia|cc"h<&{R^vԣ ơ8dEͥɜ s noAfr';}VQ%. ?93wы)3JպB_)RB< }y>0|{0I&W&q!vq=ɼ9)21=pE8Qtyz=H/9j^QF=}U n:bczQΞ4Dc^2u3z$[tscxTjesKDgzx5@ick^- z|$s,Q~P 5zVAQ2w|$n$(ۓzwJYN/;Np8t5>c'nqbb ɪW=T{py<$u1Go@sR.ŋbr@{+߾^vwϓB, SSKm8ȱV.ѻB"] "m<5H\3XICNVR(pf IZᨷbR?du(OK_b\S I8i5ΣebxT*kJ7UggE7sQ7B2^4#?Ï֝5F**F ,nm9Pp8lfncLdm4Mg{1aB,]V,JI\UcB/[rcU#}J&:sQ>2d1\uZ?sd$!q1{p# 律77pu,bMrZf)t:'! D/!G1}ݪcIɿ,2Ā1oT7YR\FŮSqh9ŝ%[ǡEap:@/If6„ {P=sܧOa0/,G8q$Q)j}o :M WGwIaA쪔*HC)X{➸5ʙ6R(Q @%o(OGGg4;'V% (Q sFF*>Q *qNΆM*Ң2)T=TB{QQ}d8-bNj'h 9q>`>&:0p8YT{Lv , `,~Ip3gF),Pb*`Uy*\l}TP1.BVC4!ORa~QҲoWS̸gXCK0  6S&ڙ`'Aea=Wj!6kE,4ЬfÊdv͜/p3"B_<lnXHq_!Okxz46XM;vĥ=<Tuj֦w?G4N/-T1Oq4@7u\J@rtQ+.CXiouP3-.W#[`!O4.5\݊IB+2(uIl IvTQhv̧na娎[Γ򅻇QH:A lBYwIB̊kl3:\okIzcs9Cl!4OpO!V,_\ŮuQcD"L:Rd\E> fk喚9LVymXќVaAgk3*:4'68Pʃy"0`%'ҥH43 Sɾ5$_" aߘmHs}ZQEV&E$J\]I.2!p1Wb% ‰1M)/NQ(E>5ɊV6j;bph8M'848UKWbsj'W_mڵBnFEMQ,MۣB.w߭xJ3 TnNe6nUl ΏbU8S _u팆~d4PYW͗T*fx.U#MlS[G!p"{Kh׶hQtŞ% v~RI ê;c&9'UK8xQ´u)#l y58[ҝ(<lvROS`OՇksuD+z.Zy3hB1W^w/#י\u()' 1'y21Qu.yrW7*Kc\a߅L\+y!3܃_M±>=eWSJ s6׫`ړmPk5P02`r^7 u,_C^?9v팔Ҁhk*ʩ\u Uݴ7 D2;d\(Qڇ#Y|y.JgTKU=OKՒy,1QbO C;7a*0u[?ʥ|)=akGa2zKVkL>=ԤPyxXTYAF/7){%(ؠZKo [oў>{t#8˕pA'qBStb:v4Ab(ua V sz)axaDp8AGR ,` GW^: ғF"+Ox)^ZX A5zaj9 Q j=ʠ s4fNdߤ7?S:\/|,_T7b\\zICtR-UZ#9I&߱&N(s)sBt X+El1U%+ ŕć]Cagl:B13p.ޟDtX-ưI3&ShbykQ8~J&m&&5;%-UVP*Cu{2nE:%LΧ!6<[`㖍ع"Ď~2ibw7^0Sɛ;1Mq*OLF&:3#e8{F.%w*sH>%<9(p  vl(q! ^Q*Upޝ4+Kk9QvTXgei#I4hBA^ܻ">fS!&-LO|pF ~]v('?8miwyYCR55Y4-2\gކ`ۃNψ踙]4ivU A?wgN&Rh`_, G9Eٹ0{R]ԢqDG\ҜKTpd5&J%`xHu\2!J U]x9Ksߧdj,hɭG%8G DU(y,U=Ct(Y*N?NNu%ቪuzጶ 47.<N[s׊aΞh`H[u^H֋+ѥ9=cI$B_hAsq's&6D.ٞs>5hT4q$\bt ]r=69srt%pnw;ry)j\s*Jo P ^=T&v )94*9.B<*>yuyzFv: /V*o ͋[7ezF=Y%*`pQ_8 q? )->|o>ӅS6Y_Q8`$=7;xr[5']}_N`.oD{=Q 4-^)+9pT s0g.`]Ms^w(U#Ric!D(8J>1"jRP)+aR|WTL)9Y9 1L8f,MQu#E-Mrvޛ_=Z_0|I9nfi+Gh (.F̯b_I<d?{U9!ߚ2fWkz(ӆNIs}V Eot7c1]dV?7lsoixnx;ʹj`VvL䰆[˜HOk'6a߹|~Cݕ2QaTZRޱ|te+%G9`b|NV/;G{*o֓N\s;雤E+n҇F[QȩVMFB^xn5oph_)ʝIHSW=;D•e_'4?5EMӍ)k%3LAI(z|IwFҿ$QK H0.U(.]ЇHƛ+  cojOm gw/dI@g߈#`GB=]M~5qOCn immaE1K+]TZ Q^KY brwPÒ I|w4<*9o&hr"e_duCwy9e/yp8sK)PHF I#%md'}"|#m v5F3` DR`,}ΆWDĮZ':k.u&$ 'P1ߒ+Tb1Gנp e9WXBsFQV/EIES.o)sOUN5UB~w$%R'ʔ(^4d9T,$$:>NQ&aEYIFIyw^D<YػP O M}4 d"B!s:@΃˹uM=p$bu?)"ڕŏ |rNʶi)_G.ɷr׽KzpIc57O|TItAt+ \+L9ht;}oq뿑cĤk\o6wƻb8ݳ@[!u==+Ov&]A|/:6 z6Y* k6(o+V>dJ[ԋW^:X3Sk|}W|/#N[+RxgPjs' |?mŸRnǴŖuRVp_@ޔC(~>ņ*^}((g.tNKLdv{$s[l*-я\aV]Q7h_WEfL:pef/@$SmF i\wrėY}PySjj)H6ua% ;*'ܱ^IƢyR(TS^M>n\ D&8L`?SfGrB7˲Xu)R^T)`bܓhQ5,o.cexn]nL^:NFi<8uGp\Aށ6ZGpDycEY1a`T%:J80Tr8]W=ȵ 5Qh1H~ߡreIR F||.1k ]V? aæ6$VevVhb=:_7'jL'Sf+ܚ㗱i< &g`k r!_vb߼hո1ϮE+|n+i7m[pt Q` 5T@%:_D>RJn:,PgrZ|&`D|)yb__Y,Yy|5VX^Z TcHsE&Wxӑ٫M'^!Z5:"t68|0T%\<3;\^='-5{7x=ϧe_oܷ}{hGD뒀>{bݛ֔nJ^&5>!Շ}w5_p]^P)Ͷ艦p<~;[SV" JE (sE+ 4I'!礶0;z~jiE_kڌ18fЩ{o;! G ŊQd3p~;$r8T.85vEj(S|_G&o44T/ 1PS9F~OևY-/EaV6;Xe,ڇ4CSE!P1lYvKqg )mqhr}.tHDENF"C~Oe3N% i äS'L;9皣K*OV^RUh7Q:]\$+XAtީW>$awK({45b&F|aKYudwAͼoF*!Q7Q1o=J7㏎ ބŖ3D:G;W iʍKD}a=.CE>FX81,p=~3'kagG/;lEƾm곱 5 R-C DD g@攘E1D΁| è֝ǗFPG$]2g+)GNjKenB8}ݿc7cErVykd߬>{هgx8\yOhk1Uo}ljg.Ur/)^*.]\2yݶbHvM;%sYw!RB# PV1J+}bܺh'pGwN7cm뀿l8|{Rщ|8!g&5AhB3mQNDs{r _ˁ{s31OZ]Ӵ\c]k4&7f,fkLPK-Fi|~Z{ ,Z>؉Jeh{3PaD@"u)G-vˇׂ%qi:p;zu,ĴU 0HK)N~Xt7)@r:{ab{D`Eb9+"G|Ecȧ\>&s~ ?3ccB.` b+›=>߶@>~ՙǕdLDō%[ǡbU0X{)F9MDm,6-GemtՊO[YAU"CNYqeE!ʜ4 _<jtĐ=m"zM9 JݪcԴ1h&Z>NؒIDATE'ˁaѦ`#2jb|)6ӹxHpi+٩įxij% *, NS9)X$+-Ob@ŀPSP1`TcY*T 蘉8ua@%:Mb@ŀPSP1`TcY*T 蘉8ua@%:Mb@ŀPSP1`TcY*T 蘉8ua@%:Mb@ŀPSP1`TcY*T 蘉8ua@%:Mb@ŀPSP1`|OF4IENDB`[DdD` x  FA?Picture 2"bZA" 6\+ZnZA" 6\+PNG  IHDRx$&&iCCPICC ProfileXPҨD9gs% ˒d$JP"Q bEP0 (`^U֫wfJTT8@Dd\f ?uMFZV_v.FX*-c4@;ڨQ1q irĸ-Υ1K AWoqnb?<[ވƏ) hrj )?$&R)ptd""vmq%æ߶M %h5 |Bcnu=3k EH?kǧ-7wX#O1&0'LwnH_em? a~bj񗓃]rB_ s 1ږoc}|Rh7mMNQq6mͶ 6_gv`(Ѯ1!Aq, (+sBw.AlcdVy$\O&Zm/GRcȐ[?(p> $,P@ G^r@(@%u \W0$x f?o_?&B !pFIxIX#2FDObBrIqq%r[ʝS3󕗏׌7( ;>6>}Pr|!KGyk 9 ez.V.&,/b%WE(NT]4X obb.bź9-ē[ğI$$%NJ}Q.}Rl(')_,FԷ:ouKtʂ+߅Tք~ k w ?d ŷ+ixtTNLfrLC,BknF%_&&T%|OtN<Ę4[jw7ɦɧ P\+7}T(/ZpZV>}M;_2]2xeee<ܯ&{7O)hޯ|?P>p»EENjőS%z%MɥseVe]_U\Qs8#=GEY\9YeXu:1c8rQYmIu躄7Njnj(hhliojVkn>snoY4ÙG?^ydggWyqrZr܌LK㗣Oso_ž9 ŅK]v]_Yt3/_}b5bu[wMkk7~xȆF/gQVA;@>5@rK@2pbܡ0 Bd!ŐOPM\L ?Ed$yе0ÙFYX~ppVc?(*!3ITHqJWr'*S|lrF QN[VC7A/WҠѰɄ,Cj9h.QIYEU۝Ճ\=3{Am<)b2o׉jKeqaAnr߽) iggj˾|ye%dI5Y/:*zzfvF^&1f,2w'YYX)-?Pi'7ɗJ T 2 q g1ykW{ԡԘX8x|jl=VdFsIwpt͢dG$ͭk->0ypMR2rC':rq'Mɧ(MgN_i<39!r^jAۥǿ7/%~˜聕+WǮ 5\.Qp3V팑р;Vwq&<845ɣCO?+}~邙ܗs^ۿ}#mշu'~HXܾr5Z]3a{+`whPn@xn@0JXE1>PBGFp ΆgϘKP\J/"U"TrZZWNx~yEM"gBj~5XV]^=!})9C9ƒ&"fO;G]Vy16.vbl ǏN]U2VE~ݥ L<.q?(hqO&$$FO{ڥH"Sg.;a)3k"!'qY.wjRzjq?**=\WnHb ǫW9R}"e~)F&fiL hyfփ"ڬ::~a`OZot_EK*. ^s`Pá7nR;Y{{cO=ԛs^>~d۴7ĭ/Ug#^-{bQ+W7([mdkU+V96gj ?$5l9 `(4ۮ|<^_;$Y@~ jF70a8 >__!0iD ^#He2ن|BPBT?mA_DMX:4Vm)pcx1|~`@#bQ'$sR ]=}5C=,c7)CHqVl^l88rpqQY=?"'h.n Wؐ.(/.G!#O_RؤTjfIFUv*"<|Rj3-zwv-۬:{mN-8@Nz~.{{yUx2Pbՠ!B7-#NDFE2?MOjLfSbp^Jv~܍.Ȣ2B #G׫^iͭ ;Enт9 Z71;պz/7P~{0Mۧ? O~i/ͭf\Zzg|UԷ鵎 1ZŠOvaQsfx^F"4>lD b)$#cǐ7+IC!"@``&ӊyF`;?pFb+"nHXR"5+(%5nF5^&Af2$?/*6M')!\ \=<^o>"_/ m>Lz-'R"&f&..X|$5(.S#["#I>BWENZVYMSIARXGKWIOV_@PHXDT"lg 92*:&VӚ^9\]F<^yޣCxj@ !o4#fvEGuLNLIK<%=MphFL@<{M-*H:VX`MY-N~zSi3* ޷O-2UapuZGbTݝ@=0}4ٳ/*gf^V\YzcY?~.??0 Ԁ>| 9CQP Bkp ΈD=bɃ4AF!7_QB(;>T;j͎&=ܗb0 Xilpd\ B#m$~R.Ч3ƙXP,:Slޜx.`n<( PpHhX7yO/E?P=*uꐆVvδ> pؘ`nfN,ݙ{;rm aӼ3#ɯo ^X_JyehE_2fZ.~gb&a+JD4bsR6J67Onnnњg\ w՘u?QԄiTXtXML:com.adobe.xmp 285 120 @IDATx]|M&%;Bw[fRT[,ZUޫ&vbbYD{FH$?{9{?8b@ŀ€e G*TT HQ D'EѭLŀ訿*R*IQt7S1b@%:o@ŀŀJtRT PP1b E1Ez3*TT HQ D'EѭLŀ訿*R*IQt7S1b@%:o@ŀŀJt#׷Q؝VP1Tf†]^b@ŀ9P{9uީV/P1> D0t?fW/›ړx8Sŀa':O%~0̝z POT x'>ipi mAF\\z|*Pv,9u{/v_&#)ܖE>ѹz%_W*T Vワ>F~'=]opu>>xB }E~ś7rP1b$9׷a = 8D+MLy"+d5撤uգHDml n^S:ILխҩ8EFk['/M[sqnu\Dŀ1ūmPdBPzw'Oq^Daߕ\.P1bH3Dg~nps)>9CN&EAp"skI=Q1`4H_ǔ{naW!h5?D¿'qB1 -!bXp2uƑr2>CbXƾū0d͆zS.立9+ Ncqݰh/nYUVģ|4~Y#E WGܸ$aX8Vd8E[aJEd:3!suWV2LM4$-ZRy-ZM!ѬgTw遖Uy+h+,gQV5J1|p/Y5ΡaqRui 7/Z;rNоia\ X%} zBL`3IhUe CS'#Vf PDeD_J<{~X{SK`pTY5NykKlُ]93Z Q傟!C0.*o7#)D8V:Z*5GPi#Tpv[3cnR}5XZ2EE<AQ1Av7Cog熍\ F`N4pudfA%kUƼKc/`l1OٰVGr9OoV2Nb ~‰^][v.k<./<`B2Gv __C}3k0DR,&Nڇ6)E&8׋~Afv&7˲?5B^s,AhȢVc1˵P 8B<&?L1o(g![ҬI\ў,J@D y8Ҽy,oUia|cc"h<&{R^vԣ ơ8dEͥɜ s noAfr';}VQ%. ?93wы)3JպB_)RB< }y>0|{0I&W&q!vq=ɼ9)21=pE8Qtyz=H/9j^QF=}U n:bczQΞ4Dc^2u3z$[tscxTjesKDgzx5@ick^- z|$s,Q~P 5zVAQ2w|$n$(ۓzwJYN/;Np8t5>c'nqbb ɪW=T{py<$u1Go@sR.ŋbr@{+߾^vwϓB, SSKm8ȱV.ѻB"] "m<5H\3XICNVR(pf IZᨷbR?du(OK_b\S I8i5ΣebxT*kJ7UggE7sQ7B2^4#?Ï֝5F**F ,nm9Pp8lfncLdm4Mg{1aB,]V,JI\UcB/[rcU#}J&:sQ>2d1\uZ?sd$!q1{p# 律77pu,bMrZf)t:'! D/!G1}ݪcIɿ,2Ā1oT7YR\FŮSqh9ŝ%[ǡEap:@/If6„ {P=sܧOa0/,G8q$Q)j}o :M WGwIaA쪔*HC)X{➸5ʙ6R(Q @%o(OGGg4;'V% (Q sFF*>Q *qNΆM*Ң2)T=TB{QQ}d8-bNj'h 9q>`>&:0p8YT{Lv , `,~Ip3gF),Pb*`Uy*\l}TP1.BVC4!ORa~QҲoWS̸gXCK0  6S&ڙ`'Aea=Wj!6kE,4ЬfÊdv͜/p3"B_<lnXHq_!Okxz46XM;vĥ=<Tuj֦w?G4N/-T1Oq4@7u\J@rtQ+.CXiouP3-.W#[`!O4.5\݊IB+2(uIl IvTQhv̧na娎[Γ򅻇QH:A lBYwIB̊kl3:\okIzcs9Cl!4OpO!V,_\ŮuQcD"L:Rd\E> fk喚9LVymXќVaAgk3*:4'68Pʃy"0`%'ҥH43 Sɾ5$_" aߘmHs}ZQEV&E$J\]I.2!p1Wb% ‰1M)/NQ(E>5ɊV6j;bph8M'848UKWbsj'W_mڵBnFEMQ,MۣB.w߭xJ3 TnNe6nUl ΏbU8S _u팆~d4PYW͗T*fx.U#MlS[G!p"{Kh׶hQtŞ% v~RI ê;c&9'UK8xQ´u)#l y58[ҝ(<lvROS`OՇksuD+z.Zy3hB1W^w/#י\u()' 1'y21Qu.yrW7*Kc\a߅L\+y!3܃_M±>=eWSJ s6׫`ړmPk5P02`r^7 u,_C^?9v팔Ҁhk*ʩ\u Uݴ7 D2;d\(Qڇ#Y|y.JgTKU=OKՒy,1QbO C;7a*0u[?ʥ|)=akGa2zKVkL>=ԤPyxXTYAF/7){%(ؠZKo [oў>{t#8˕pA'qBStb:v4Ab(ua V sz)axaDp8AGR ,` GW^: ғF"+Ox)^ZX A5zaj9 Q j=ʠ s4fNdߤ7?S:\/|,_T7b\\zICtR-UZ#9I&߱&N(s)sBt X+El1U%+ ŕć]Cagl:B13p.ޟDtX-ưI3&ShbykQ8~J&m&&5;%-UVP*Cu{2nE:%LΧ!6<[`㖍ع"Ď~2ibw7^0Sɛ;1Mq*OLF&:3#e8{F.%w*sH>%<9(p  vl(q! ^Q*Upޝ4+Kk9QvTXgei#I4hBA^ܻ">fS!&-LO|pF ~]v('?8miwyYCR55Y4-2\gކ`ۃNψ踙]4ivU A?wgN&Rh`_, G9Eٹ0{R]ԢqDG\ҜKTpd5&J%`xHu\2!J U]x9Ksߧdj,hɭG%8G DU(y,U=Ct(Y*N?NNu%ቪuzጶ 47.<N[s׊aΞh`H[u^H֋+ѥ9=cI$B_hAsq's&6D.ٞs>5hT4q$\bt ]r=69srt%pnw;ry)j\s*Jo P ^=T&v )94*9.B<*>yuyzFv: /V*o ͋[7ezF=Y%*`pQ_8 q? )->|o>ӅS6Y_Q8`$=7;xr[5']}_N`.oD{=Q 4-^)+9pT s0g.`]Ms^w(U#Ric!D(8J>1"jRP)+aR|WTL)9Y9 1L8f,MQu#E-Mrvޛ_=Z_0|I9nfi+Gh (.F̯b_I<d?{U9!ߚ2fWkz(ӆNIs}V Eot7c1]dV?7lsoixnx;ʹj`VvL䰆[˜HOk'6a߹|~Cݕ2QaTZRޱ|te+%G9`b|NV/;G{*o֓N\s;雤E+n҇F[QȩVMFB^xn5oph_)ʝIHSW=;D•e_'4?5EMӍ)k%3LAI(z|IwFҿ$QK H0.U(.]ЇHƛ+  cojOm gw/dI@g߈#`GB=]M~5qOCn immaE1K+]TZ Q^KY brwPÒ I|w4<*9o&hr"e_duCwy9e/yp8sK)PHF I#%md'}"|#m v5F3` DR`,}ΆWDĮZ':k.u&$ 'P1ߒ+Tb1Gנp e9WXBsFQV/EIES.o)sOUN5UB~w$%R'ʔ(^4d9T,$$:>NQ&aEYIFIyw^D<YػP O M}4 d"B!s:@΃˹uM=p$bu?)"ڕŏ |rNʶi)_G.ɷr׽KzpIc57O|TItAt+ \+L9ht;}oq뿑cĤk\o6wƻb8ݳ@[!u==+Ov&]A|/:6 z6Y* k6(o+V>dJ[ԋW^:X3Sk|}W|/#N[+RxgPjs' |?mŸRnǴŖuRVp_@ޔC(~>ņ*^}((g.tNKLdv{$s[l*-я\aV]Q7h_WEfL:pef/@$SmF i\wrėY}PySjj)H6ua% ;*'ܱ^IƢyR(TS^M>n\ D&8L`?SfGrB7˲Xu)R^T)`bܓhQ5,o.cexn]nL^:NFi<8uGp\Aށ6ZGpDycEY1a`T%:J80Tr8]W=ȵ 5Qh1H~ߡreIR F||.1k ]V? aæ6$VevVhb=:_7'jL'Sf+ܚ㗱i< &g`k r!_vb߼hո1ϮE+|n+i7m[pt Q` 5T@%:_D>RJn:,PgrZ|&`D|)yb__Y,Yy|5VX^Z TcHsE&Wxӑ٫M'^!Z5:"t68|0T%\<3;\^='-5{7x=ϧe_oܷ}{hGD뒀>{bݛ֔nJ^&5>!Շ}w5_p]^P)Ͷ艦p<~;[SV" JE (sE+ 4I'!礶0;z~jiE_kڌ18fЩ{o;! G ŊQd3p~;$r8T.85vEj(S|_G&o44T/ 1PS9F~OևY-/EaV6;Xe,ڇ4CSE!P1lYvKqg )mqhr}.tHDENF"C~Oe3N% i äS'L;9皣K*OV^RUh7Q:]\$+XAtީW>$awK({45b&F|aKYudwAͼoF*!Q7Q1o=J7㏎ ބŖ3D:G;W iʍKD}a=.CE>FX81,p=~3'kagG/;lEƾm곱 5 R-C DD g@攘E1D΁| è֝ǗFPG$]2g+)GNjKenB8}ݿc7cErVykd߬>{هgx8\yOhk1Uo}ljg.Ur/)^*.]\2yݶbHvM;%sYw!RB# PV1J+}bܺh'pGwN7cm뀿l8|{Rщ|8!g&5AhB3mQNDs{r _ˁ{s31OZ]Ӵ\c]k4&7f,fkLPK-Fi|~Z{ ,Z>؉Jeh{3PaD@"u)G-vˇׂ%qi:p;zu,ĴU 0HK)N~Xt7)@r:{ab{D`Eb9+"G|Ecȧ\>&s~ ?3ccB.` b+›=>߶@>~ՙǕdLDō%[ǡbU0X{)F9MDm,6-GemtՊO[YAU"CNYqeE!ʜ4 _<jtĐ=m"zM9 JݪcԴ1h&Z>NؒIDATE'ˁaѦ`#2jb|)6ӹxHpi+٩įxij% *, NS9)X$+-Ob@ŀPSP1`TcY*T 蘉8ua@%:Mb@ŀPSP1`TcY*T 蘉8ua@%:Mb@ŀPSP1`TcY*T 蘉8ua@%:Mb@ŀPSP1`TcY*T 蘉8ua@%:Mb@ŀPSP1`|OF4IENDB`2Dd/ N  C *ARCS Logob2Hu']:t.1Bn1Hu']:t.PNG  IHDR`gAMABO pHYs  $tEXtSoftwareQuickTime 7.0.4 (Mac OS X)->tIME7ah IDATx]XbnD:T D QnOwݝ؉" Rݰw` ~03;o7555 H) Ԝy)م)Y%%% V5p32JѥӌM tl ,m9Y:ZH$ދ?Rbx6>=Cr_38gbIjPh T,viX[T-B>Ehaoc έl͉DRM)~w >~էTF5v51jh`Ĺ<}-i L,Y!1+&1]Bz^q:rri*[j]ⅇїdjd)K1<&Bjc6Ga=۴rR76"I zgFשy`~\tt^qy~qEAihjT6áR(T 2r]-}c}:ؔb/r_]}Qt[bcY^d0Y{4y_o7-"ؤpt2K$4Ȥ憶F֦-훀 HO1&*(0lvڻ`I^ /2[pޙRf嗬?yгA]Z>GTT1">]Ϋ8P:?(z0.<|ܣ u9}PO͟%kfs`-ڄ0;s-8U,UD_9O{UGホ73Y4!>Ʃ̤dVw\|؝JƸ^tǤLDVjp2߷Ġ?[/>$/?t 'H6ӒT3 y70s@s; rXDsG}QAG3{;צ^W{wmf*?!) z~ιC}=]C\.6J]wq˅{W1 IP原gEtY U:?z遰/iy*״ 螼rowݚntrCҊϟλ%KO*\0gwGkOg9qIH NeGs VN ?[U>wǕwT;<9A^FUvIy՜nEvv;jjGp |=m, ϯR}}xߍ j[7ɤ4('Mck87)L(#5)YQWNҿӦYt:!-wؒ#M iڱ5y%OkZgp$o\*V`*&r3 H$B-#tg)3l-N.ӹ='֝>s Q)WO4VR~J}7Sui,dNtdeD՜a/w|nKD"g9X5=!I'ш=zg0` t J(I nM4-,q9 8*m@G cKk'uuNickGoFV(ۚǞ6*W7K5x?RTZW\޵#ʡǸ uEi~!hvnD(#mA캺Cel8[h\fKJB%~}Bo;/;rТpcWT2#TJƕUW|ŧQ 9r lΨǷ_xYU!T5$i8 6HpiG<~;%D[y&&خÔϞAr=Hl fq r}xolڢHʬw}gtĎFXvTXOo\:pxU% lJ`OC;4onblR֠Sx$d \xlL"B֝}hQ </v2YjE \r=ofsI%NʉyvjX4mO(wze0gbsƧ QފN>X7-pOːm8d<@}I)uk}v_SxX,Pi1Ds\ς }|'k3Nv~\Yi4X?79E78}ME7K40]PR!x 5KʫF,=jidHdǤLpgg "ɥNdf$e4ȵe6uUE y驴;tM[3uS}}l,6[hIG˷aK0 *<8\owa)[WiTQt~/PB( M™ 5ϷIuY.{C7^WT0$$ҥӎ-5[kC my91ʹ?C n[3xA^*bxK+dmO,QySr+@]|(4IAq 63:^svc_Ҟ77O^q`ۉ:19KrA bNd#]:8{&}Nd<ˣ 7<^z ٞرSKS5"%Pp V+& {|>IID2K/.g*H9gyX 8|BId@^C&A#џ=!y:MzGɿ[>D8H3xQYJSu~_CFEe H4+ɭZ_%RmAZ?lf֦8%(]BSWs=9I.j`J\q<-HoGLp1[9ZMiՈ/J ƇnsiIoGKmQ6,0j.Õ6CB&xsu AuS+OH("?;x%|Bx{^Rrrg9EfG~/oE*軀a7ԤRp=v ,JF4g()gau kbE@JʓЧt/[\=#]2JR>IJ*Dy"b Eh4|UQaZB&G(UȘz&bYB"ejPu<Es//Ǖ'1 &2hd4*–pK11'n,"JU0c313YXz48طn(,j:u.|iD _)øDŽ*IyߑTx/1"@1p5&xj@ӬL|=}2N x+;B SrvbFۯ>ͽ#D"}h1W)A$vfJ& }}ClY2ԯS T僫w"f5'HMe~;D d}xwJJ5<"DOBz>6kA5$) J+EbH(:]*N f;*~jy-e9GP^x Ex#~FGA$/0ꑂ#DA5ɻD \i9ə2d9GfBI9s -Fk :BwG/i2M?~YC73mnkRʪ#%NtHXL.+΄ =?#{/t<]P<&I%eTC/)*JkXWx?xTqHQY&:A[`"`k-u5T02TRO4 J7ojTsu<ۇF4 @&QC y=DkhҊj" йBZ2Z;Y!>O,K  ٜ?LhMuPJ}%%j5kS+`dOlIniDLK;iR~IuύMVfcn6" uKxuE=.?>CfӉ$`[$QdTg嗢:RNHڻsYEnPHR 2k+3V (1Ad H_S{ȟ l'Z-vt((bI;`0٢mmY2Ol@:̻o܍*NTjÑˋFA%#_5-mvZ \-;h@f.ޘ7SZ[q}}vh8Q`[$v &G֩ RP/8JʫZ7P5@ߵހ& Yl`H^qVPRAyE $%-\4gx;[/ >Lj@6%aIXWZBG"K7_%-W bMZ$]S6dV-ajUTACds+;_O>-肭s+ FȶbQϵCQKG'kJs1aH;te  ~$ @; ;fabņ OJcf` 3C7o)6[^ >* ލ!|Ҹw{簈OrE2k+TŬ>v+?Zxy{I$t SXXZ&B{x%.J C^obWnDbNS(d̄T٠"][;DW(rr*bAZ;YwQ0 8fJ?a ~ZfsV.I&5 PR 5 Tm- eЀ /˗Nөk|?s@y rZ!FZBŇOɂ h ʔVTى17{")@六1H=09@Lx8[[5n9 11V֚9޵쭌`q8El3X`?X3cD,B?\>踾^h`DR 5"01 oWqY@sK,=y *u~=Rw-mi+lr_  EpPW>c}mkv* % DkF]p{% 3_' ?F+lLѢ Yڪmڴ~v)1C8ۘƥ-okGC ]aSI%k,&=gx @7x!2 Z+!e[g H1];~(VeQUpai*C{iHp51) Hd]U͊ϔpiaذ:⠼0Q5(}Zʬz<GR"vHtL"aV?C5RyCFtN>;6~yU-ĥjY*{n*RٚѰ?6mUvOĭ57hQ<]e*rc2\P )Db6IHSB&R.+( N8aF`t$NT.(S2T7 UU#DGJd^jMT1Y,;(EuZRTFJa?rꅚˡPP1+ݡ0lDҴo D_ĕ TsSkJGT!p :mnt/7qŤ 7"bXVM]4ath ih Ypߥ僨ZEC럫n+Ǝ~@nHLƃp`q$*䬾$="bʪHq9Bܭu56` `fa-H4`9^8m1񣬊yn!3i¯$Hv{o5}|vVhǵ(m%IDATAT!t@h-Dj@| T`>!9!jуR'*N48RD ˤL[@J X 8oIp@wi@%Ly^,rrod󏠻ބ*I9OWgQrجX`0"֖Otif/.A~cbHܚf~TY**&In{#9x֌=3>dx7̛1Ie`q8~^uPP-O.X5ߜмq 0߶^**ept)0 #._@<\'%רP?"sl{Ym*l"ktEpHNVI2nv@M79,ppomAŏ_{ C~|ʁڑЯSן!ٳopWڢ+t?dy#`q痗 DbBб-PK`[n#Y\>eYm\)b-^ [=z?s7T#)6ȶ/ˎ" ]hAm#3ؓ(FDc{sF Z]%roOXm#N~la\ɨg󙇢b~A_N]@ %ATN'6>zÿ́L^~9p>9Ok{?yaDRH$|@y!?|\1G43aɕ"_HҙӃ5GWty! hQM tFynnmpr-2Qc05Ў<8*.l;n#lDbԗݡOgnrbRuU2 qc/9 [N/xNIr IFK$I$bE!87vF|A.i o`ϱЭK:kk B#1Ho+S}`~!v+ؗU#$0Eى|iCՖ5'%`Fx$R a怉*r PKw7%}nʓTlqp/}ЮUƋu'%UrIf}C=ꞩhT2yX_{Ơ.l\ж\Iᰗ[ 'eENpοjNJBja?ӹ5\w#d҉ecF+{oĊPg7Nn=x#LK2; ~#m/@wpCLJiEe~!ae-|=^|Dʼkp=:Ҙp3:ކS[DHDFK7oS èLoZNpEqv UM|1FD2طSCمn#I 4SǢv$0ל]ZvVyrL4&Ryioirw gzښ痚s;d܅FkK$6ȟbSq1X7nl]y֯u)|we+վ!/>(-,"E3 D_q1HI*nEzwNIIOlKZn ½q_%|}_ =&h~禦4.FF[{9t4MXŬ|=Ia=,9ET цG{z8*{;%Prtƒ/>d?:GxΛ.`Be4(@#{b#s8_8|;LTNCdmzjty$wSqj@4bRjn8wVdPǖ6O4K-י8 6M'sCp+_E'qE xg {zԵ=tof DgcD&%Xq^|XZa^*D$j($"0Xl6f{{hN)ꋕٸaK/ [GW[ˣ7_ 7Y -ƒq~FD^Vt:YΔ5^$$jVrDOצʛזB)u+O'px ,)>[PR|BK!%ˏ߃YRX0D&_8' SgrkZP=D JCnIJ1USAH +*xk+m!Cu^nG%dpR!SelΞc'eOHJ&-3xndܶo7(vswCQ\qbup=w#~ZRj%+W]XZ9үq?6OH=pمxmŔu^-?xDff쬲>7LJuKOլ_zys?{w^*!V \/oW:Z- ߛ8g%OJ`hn:`ץj/GG`_]Nd\VrGK&}:qJ09Y>s7jGfZ/krN 0VAAIw>*(u1=Q ~'iA"[Ytrs4Ũ~^r mdoH朻vՈg1I2_m.8br>$f~H̊MJ(Dȶ ,M,Eg\z̽S4Ȥ.-g "6NI">5pثSo2K4P끝ZM ?ry_Rf(j6\ AZztI`6\}yL< iF&%@2]x8[Nt ۩"?%gaCql֎C{֣K31MBzG\ IHh8@u1E,my%Yq cfD֙hٿqÍIa)6`3>hgm_[JP =ڼQPM-F P=: Ѳc ?w)%HČBP *ωٔT (t.HncmXk?yPB~cIENDB`666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH H`H  Normal CJOJPJQJ_HmH sH tH @@@  Heading 2$@& 5OJQJD@D  Heading 3$@&5CJOJQJN@N  Heading 6 <@&5CJOJQJaJDA D Default Paragraph FontZi@Z  Table Normal :V 4 l4a _H(k (No List ror TqFile Folder Labelsll]l^lgd CJOJQJ_HmH sH tH >P@> Body Text 2 CJOJQJ4@4 Header  !4 "4  Footer  !j3j i Table Grid7:V00U`A0 "\ Hyperlink>*B*br@Sb Table Classic 1:V0  j#j#j#jj 9B*`Jph6]5\56\]PK!pO[Content_Types].xmlj0Eжr(΢]yl#!MB;.n̨̽\A1&ҫ QWKvUbOX#&1`RT9<l#$>r `С-;c=1g~'}xPiB$IO1Êk9IcLHY<;*v7'aE\h>=^,*8q;^*4?Wq{nԉogAߤ>8f2*<")QHxK |]Zz)ӁMSm@\&>!7;wP3[EBU`1OC5VD Xa?p S4[NS28;Y[꫙,T1|n;+/ʕj\\,E:! t4.T̡ e1 }; [z^pl@ok0e g@GGHPXNT,مde|*YdT\Y䀰+(T7$ow2缂#G֛ʥ?q NK-/M,WgxFV/FQⷶO&ecx\QLW@H!+{[|{!KAi `cm2iU|Y+ ި [[vxrNE3pmR =Y04,!&0+WC܃@oOS2'Sٮ05$ɤ]pm3Ft GɄ-!y"ӉV . `עv,O.%вKasSƭvMz`3{9+e@eՔLy7W_XtlPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-!pO[Content_Types].xmlPK-!֧6 -_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!!Z!theme/theme/theme1.xmlPK-! ѐ'( theme/theme/_rels/themeManager.xml.relsPK]# +b +z3zmz o((((((((+> V t Va:Rl !6".# $%%H'(t)^*+,-&.P/0~12|3dv T |rtl" T     #%'),/02579:>DFHJLMOQRSTUVXYZ]`cfgjknqsu P j Z ,",H3r4@%(D)*`**+++<,-^/00b1`223hZ& Hp2f(<$     !"$&(*+-.13468;<=?@ABCEGIKNPW[\^_abdehilmoprt!1COUYeko{ !-3@LR )9HXjv|"(;GM_kq/@PZfl"(Xdj .>HXdt '8HRbn~5Et6 F W c i   4 D C S [ k w  + 1 L X ^ b r  ;Kv=M|0@br 0K[}*:k{;Kl|k{  ,24@FHTZ]ioq} &,5AG @PZj(.[gm(.\hn|AMSO_gwo{ 0 A """")"/"2"B"S"c""""""""""""#&#2#8#;#K#\#l############$$%$1$=$C$f$r$x$$$$$ %%%(%.%4%D%W%g%%%%%%%&M&]&f&v&&&&,'8'>'z''''( (5(A(G((())2)B)S)c)y))))&*2*8*D*P*V*^*j*p*+FS,FFFFFFFFFFG,G,G,G,G,FFFFFFFFG,G,G,G,G,FFFFFFG,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,FG,G,G,G,G,FFG,G,G,G,FFG,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,G,FFFG,G,FFFFFFFFFFFG,G,FG,G,FFFFS,FFFFFS,FG,G,FFG,G,FFFFFXFFG$G$FFG$G$G$FG$G$FG$FFFFFFFFG$G$G$G$FG$G$FFFFFG$G$G$G$G$G FFF@ @ ( |H} z  s *1#" `? 0( H B S  ?o+]!p)uText16Text17Text18Check1Check2Check3Check4Check5Check6Check7Check8Check9Check10Check11Text19Text20Check12Check13Text22Text43Check16Check17Check25Check26Check27Check28Check29Check30Check31DZp *I6u7 c  ""2"S"4%W%%%M&f&)+ Vl:YFG s "0"C"d"E%h%%%^&w&)+u*w*x*z*{*}*~***++++  %@GZcv} )0JQdm @ C lm=@X[>@%%M%W%K)S)u*w*x*z*{*}*~***++++::::::::::::::::::::::::::::::::::::v}  := ov8lpm6^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.h^`OJ QJ o(hHp^`OJ QJ o(hHopp^p`OJ QJ o(hH@ @ ^@ `OJQJo(hH^`OJ QJ o(hHo^`OJ QJ o(hH^`OJQJo(hH^`OJ QJ o(hHoPP^P`OJ QJ o(hH ^`OJQJo( ^`OJ QJ o(o pp^p`OJ QJ o( @ @ ^@ `OJQJo( ^`OJ QJ o(o ^`OJ QJ o( ^`OJQJo( ^`OJ QJ o(o PP^P`OJ QJ o( :=v} 8lpjZ!                 |{V]-#]:6sN3F } $Aa ldP%/m!X,pE1B3)4k4=x5 =78C9QU9)t;@>w @f:BGE_VE|HpHhI4'Kb Muquw"xy|g{t|/}*~09~2O{m$^?EJK jPd54LY ;Q$LCl7"IlF'sn4U 7xTI:j2+V? =g-@{kLXP bu'S@Nu*w*@!{*{ , ,,,,,,,+ (@8@@@&(*,.Unknown G*Ax Times New Roman5Symbol3 *Cx ArialAArial Narrow?J PAvenir Book;[xPHelvetica3Times7GeorgiaSArial Rounded MT Bold;Wingdings? *Cx Courier NewA$BCambria Math h[CCg.?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxz{|}~Root Entry Fk